並列摘要
The presence of acute appendicitis in an incarcerated Amyand's hernia is rare, and the diagnosis is always made on the operating table. The clinical picture is similar to that of a strangulated hernia. We report an 81-year-old male patient with acute appendicitis in an incarcerated Amyand's hernia with the initial presentation of a worsening, painful mass over his right inguinal area. An emergent appendectomy through a herniotomy and herniorrhaphy was performed. An incarcerated hernia with appendicitis may occur without signs of a strangulated bowel and is hard to distinguish from other irreducible non-bowel strangulated masses. Unfortunately, delayed diagnosis and management may result in moresevere postoperative complications. In our opinion, an emergent operation is a better choice.
延伸閱讀
- Wu, C. S., Chang, S. W., & Tsai, J. M. (2003). Primary Omental Torsion Mimicking Acute Appendicitis. 中山醫學雜誌, 14(2), 347-351. https://doi.org/10.30096/CSMJ.200305.0017
- Patel, S., Shahzad, G., Jawairia, M., Subramani, K., Viswanathan, P., & Mustacchia, P. (2016). Hiatus Hernia: A Rare Cause of Acute Pancreatitis. Case Reports in Medicine, 2016(), 143-146. https://doi.org/10.1155/2016/2531925
- Tsai, S. Y., Chou, Y. H., Liu, C. Y., Tiu, C. M., Chiou, H. J., Chiou, S. Y., Tsai, S. H., & Chiang, J. H. (2003). Appendicitis Coexisted with an Incidental Carcinoid Tumor. 中華放射線醫學雜誌, 28(4), 259-262. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200308-28-4-259-262-a
- Chen, P. J., & Lin, W. T. (2013). Unusual Presentation of Acute Appendicitis with Situs Ambiguus. 台灣急診專科醫師期刊, 5(1), 21-22. https://www.airitilibrary.com/Article/Detail?DocID=2077351X-201303-201604180020-201604180020-21-22
- Akbulut, S., Yilmaz, D., Bakir, S., Cucuk, E., & Tas, M. (2010). Acute Appendicitis Together with Chylous Ascites: Is It a Coincidence?. Case Reports in Medicine, 2010(), 125-128-030. https://doi.org/10.1155/2010/206860