Chen Chen,Zhu Hongxi,Ming Gedong,et al. Clinical analysis of Amyand′s hernia in children:a report of 14 cases.[J].Journal of Clinical Pediatric Surgery,,18():59-62.
Clinical analysis of Amyand′s hernia in children:a report of 14 cases.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 01
Page:
59-62
Column:
论著
Date of publication:
2019-01-20
- Keywords:
- ; Child; Amyand′s Hernia; Appendectomy
- Document code:
- A
- Abstract:
- ObjectiveTo explore the clinical features and treatment options of Amyand′s hernia (AH).MethodsClinical records were reviewed for 14 AH children from January 2008 to January 2018（Including gender,age,initial symptoms,laboratory findings,imaging findings,surgical procedures,prognosis,etc）,then organize and analyze the above data.ResultsThere were 12 boys and 2 girls aged from 2-77 years.The clinical symptoms were swelling of inguinal region (n=12),vomiting (n=9) and fever (n=5).There were leucocytosis (n=12),radiographic evidence of intestinal obstruction (n=10) and abnormal findings of color Doppler ultrasonography (n=5).Hernia repair without an appendectomy was performed in patients with normal appendix while emergency appendectomy through herniotomy for infamed and perforated appendices.The pathological examinations of specimens indicated acute appendicitis (n=4),suppurative appendicitis (n=1),gangrenous appendicitis (n=1) and chronic appendicitis (n=2).There was no recurrence during followups.ConclusionFor such a rare disease as Amyand′s hernia,treatment of type I Amyand′s hernia is the same as incarcerated hernia while types Ⅱ and Ⅲ undergo appendectomy through herniotomy.
Last Update:
2019-01-22