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岁，右腹股沟区膨大不适，持续5天，之后出现泛发性腹痛、恶心和呕吐24h。腹部CT成像显示阑尾发炎及右侧腹股沟斜疝（在冠状面图像重建中显示）。
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.
阑尾水肿直径2.1cm，包含一个阑尾粪石（箭头所指位置），并且伴有从腹股沟管延伸到阴囊的积液。
An inguinal hernia sac containing a vermiform appendix is known as Amyand's hernia.
包含阑尾的腹股沟疝疝囊已知为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，英国国王George二世的外科医生，是第一位有记录的成功实施阑尾切除术的人，在1735年，他从右腹股沟疝囊中切除了穿孔阑尾。
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.
该患者最初使用抗生素治疗，并引流右阴囊中的积液。5天后，他成功接受了阑尾切除术和疝修复术。
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