Losanoff J E, Richman B W, Jones J W
Department of Surgery, M580 Health Sciences Center, University of Missouri-Columbia School of Medicine, One Hospital Drive, Columbia, Mo 65212, USA.
Hernia. 2002 Dec;6(4):191-3. doi: 10.1007/s10029-002-0080-2. Epub 2002 Sep 7.
Spigelian hernias (SHs) are rarely observed among children. The diagnosis is not difficult to make once it has been considered. The condition requires a high index of suspicion because of its high potential for life-threatening complications. A 12-year-old boy underwent open appendectomy for presumed acute appendicitis. A normal appendix found at laparotomy suggested another etiology for the acute abdomen. Incarceration of the greater omentum in a spigelian hernia was found, and the hernia repaired. The repair of pediatric SH is straightforward and utilizes endogenous tissues. Patients should be followed up for as long as possible to develop data on the durability of the repair technique selected.
半月线疝（SHs）在儿童中很少见。一旦考虑到这种疾病，诊断并不困难。由于其具有引发危及生命并发症的高风险，因此需要高度怀疑。一名12岁男孩因疑似急性阑尾炎接受了开腹阑尾切除术。剖腹手术中发现阑尾正常，提示急性腹痛另有病因。发现大网膜嵌顿于半月线疝中，并对疝进行了修补。小儿半月线疝的修补操作简单，利用自身组织即可。应尽可能对患者进行长期随访，以获取所选修补技术耐久性的数据。
