An 84-year-old man presented with a 5-day history of swelling and discomfort in the right inguinal region,which was followed by 24 hours of generalized abdominal pain,nausea,and vomiting.Computed tomographic imaging of the abdomen revealed an inflamed appendix within a right-sided indirect inguinal hernia(shown in a reconstructed coronal image).
患者男性，84歲，右腹股溝區膨大不適，持續5天，之后出現泛發性腹痛、惡心和嘔吐24h。腹部CT成像顯示闌尾發炎及右側腹股溝斜疝（在冠狀面圖像重建中顯示）。
The edematous appendix measured 2.1 cm in diameter,contained an appendicolith(arrow),and was accompanied by a fluid collection extending from the inguinal canal into the scrotum.
闌尾水腫直徑2.1cm，包含一個闌尾糞石（箭頭所指位置），并且伴有從腹股溝管延伸到陰囊的積液。
An inguinal hernia sac containing a vermiform appendix is known as Amyand's hernia.
包含闌尾的腹股溝疝疝囊已知為Amyand's疝。
Claudius Amyand,sergeant-surgeon to King George II of England,is credited by some with performing the first documented successful appendectomy,in which he removed a perforated appendix from a right inguinal hernia sac in 1735.
Claudius Amyand，英國國王George二世的外科醫生，是第一位有記錄的成功實施闌尾切除術的人，在1735年，他從右腹股溝疝囊中切除了穿孔闌尾。
Our patient was initially treated with antibiotics and drainage of the right scrotal fluid collection.Five days later,he underwent successful appendectomy and hernia repair.
該患者最初使用抗生素治療，并引流右陰囊中的積液。5天后，他成功接受了闌尾切除術和疝修復術。