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模拟腹股沟疝绞窄的横结肠憩室炎:首例报告

Transverse colon diverticulitis simulating inguinal hernia strangulation: a first report.

作者信息

Yahchouchy-Chouillard Elie K, Aura Tamer R, Lopez Yves N, Limot Olivier, Fingerhut Abe L

机构信息

Department of Digestive Surgery, Centre Hospitalier Intercommunal de Poissy, France.

出版信息

Dig Surg. 2002;19(5):408-9; discussion 409. doi: 10.1159/000065823.

Abstract

BACKGROUND

Strangulation is the most serious complication of inguinal hernia. Diverticulitis, a common condition, is usually localized in the left colon. The association of complicated inguinal hernia and diverticulitis is rare.

METHODS

We report the case of a 73-year-old male patient who presented with a suspicion of strangulated inguinal hernia.

RESULTS

CT and operative findings showed transverse colon diverticulitis lodged in an incarcerated inguinal hernia without signs of strangulation. Surgical hernia repair was undertaken while the treatment of diverticulitis was conservative. Follow-up was uneventful.

CONCLUSION

This is a first report of documented transverse colon diverticulitis simulating inguinal hernia strangulation.

摘要

背景

绞窄是腹股沟疝最严重的并发症。憩室炎是一种常见病症,通常局限于左半结肠。复杂腹股沟疝与憩室炎的关联较为罕见。

方法

我们报告了一例73岁男性患者,该患者疑似患有绞窄性腹股沟疝。

结果

CT和手术检查结果显示,横结肠憩室炎嵌顿于腹股沟嵌顿疝中,但无绞窄迹象。在对憩室炎进行保守治疗的同时进行了疝修补手术。随访过程顺利。

结论

本文首次报道了横结肠憩室炎模拟腹股沟疝绞窄的病例。

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