福尼尔坏疽并发里氏腹股沟疝破裂。
Fournier's gangrene complicating ruptured Richter's inguinal hernia.
作者信息
Onakpoya U U, Lawal O O, Onovo O D, Oribabor F O
机构信息
Department of Surgery, Obafemi Awolowo University Hospitals Complex, Ile-lfe, Nigeria.
出版信息
West Afr J Med. 2007 Oct-Dec;26(4):316-8.
BACKGROUND
The deceptive entity of Richter's hernia typically presents with complications that are usually associated with high morbidity and mortality.
OBJECTIVE
The purpose of this case report is to highlight the association between Richter's groin hernia and Fournier's gangrene as demonstrated in a patient we managed recently.
METHODS
A case report of the management of an elderly patient who presented with Fournier's gangrene to a Nigerian tertiary institution following a neglected Richter's hernia on the right groin. The scrotal gangrene was managed by aggressive debridement and secondary closure while the ruptured caecal Richter's hernia was treated by a limited right hemicolectomy with end-to-end ileocolonic anastomosis and repair of the internal ring.
REPORT
We describe a rare case of Fournier's gangrene complicating a neglected caecal Richter's inguinal hernia in a 75-year-old Nigerian; highlighting the pathogenesis and management options.
CONCLUSION
Caecal Richter's hernia can be associated with Fournier's gangrene.
背景
里氏疝这种具有欺骗性的病症通常会引发一些并发症，这些并发症往往与高发病率和高死亡率相关。
目的
本病例报告的目的是强调我们最近诊治的一名患者所表现出的里氏腹股沟疝与福尼尔坏疽之间的关联。
方法
一份关于一名老年患者治疗情况的病例报告。该患者因右侧腹股沟被忽视的里氏疝而出现福尼尔坏疽，就诊于尼日利亚一家三级医疗机构。阴囊坏疽通过积极清创和二期缝合进行处理，而破裂的盲肠里氏疝则通过有限的右半结肠切除术、端端回结肠吻合术以及内环修复进行治疗。
报告
我们描述了一例罕见病例，一名75岁的尼日利亚人因被忽视的盲肠里氏腹股沟疝并发福尼尔坏疽；着重介绍了其发病机制和治疗选择。
结论
盲肠里氏疝可能与福尼尔坏疽有关。
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