Zacharakis Evangelos, Papadopoulos Vasilios, Athanasiou Thanos, Ziprin Paul, Zacharakis Emmanouil
Surgical Unit, General District Hospital of Veroia, Veroia, Macedonia, Greece.
South Med J. 2008 Jan;101(1):96-8. doi: 10.1097/SMJ.0b013e31815d3c83.
We report an unusual case of a patient with strangulated Meckel diverticulum in a femoral hernia. A 65-year-old woman presented with a nonradiating, constant pain in the right groin with associated nausea and anorexia. Physical examination revealed a tender, irreducible lump in the right groin area. At operation, a hernia sac containing a strangulated Meckel diverticulum was clearly recognized going through the femoral ring. A diverticulectomy was performed, and the femoral ring was closed with a polypropylene plug. No recurrence has been observed during the 3 year follow-up. Strangulated Meckel diverticulum in a femoral hernia remains a challenging diagnosis due to its extremely rare occurrence. Surgical exploration provides definite diagnosis of this rare condition.
我们报告了一例罕见的股疝合并绞窄性梅克尔憩室患者。一名65岁女性，表现为右腹股沟区持续性非放射性疼痛，伴有恶心和厌食。体格检查发现右腹股沟区有一个压痛、不可回纳的肿块。手术中，清晰可见一个包含绞窄性梅克尔憩室的疝囊通过股环。进行了憩室切除术，并用聚丙烯补片封闭股环。在3年的随访中未观察到复发。股疝合并绞窄性梅克尔憩室因其极为罕见，诊断仍具有挑战性。手术探查可明确诊断这种罕见疾病。
