Fitzgerald E, Neary P, Conlon K C
Professorial Surgical Unit, Adelaide and Meath Hospital, Tallaght, Dublin.
Ir J Med Sci. 2005 Jan-Mar;174(1):65-6. doi: 10.1007/BF03168523.
Acute appendicitis in elderly patients often presents late and atypically. Presentation as an incarcerated femoral hernia is rare.
To describe the management of an elderly patient presenting with acute appendicitis in an incarcerated femoral hernia.
The femoral canal was explored and the hernia repaired. Formal appendicectomy was performed via a midline laparotomy incision.
Histological examination confirmed the diagnosis of acute appendicitis.
Unusual clinical presentations of acute appendicitis represent an interesting diagnostic challenge.
老年患者的急性阑尾炎往往就诊较晚且表现不典型。以嵌顿性股疝形式出现的情况罕见。
描述一名以嵌顿性股疝形式出现急性阑尾炎的老年患者的治疗情况。
探查股管并修补疝。通过正中剖腹切口进行正规阑尾切除术。
组织学检查确诊为急性阑尾炎。
急性阑尾炎的不寻常临床表现构成了一项有趣的诊断挑战。
