腹股沟疝手术中的异常发现：6例罕见病例报告。
Unusual findings in inguinal hernia surgery: report of 6 rare cases.
作者信息
Ballas K, Kontoulis Th, Skouras Ch, Triantafyllou A, Symeonidis N, Pavlidis Th, Marakis G, Sakadamis A
机构信息
2nd Department of Propaedeutic Surgery, Hippokratio General Hospital, Aristotle University Medical School, Thessaloniki, Greece.
出版信息
Hippokratia. 2009 Jul;13(3):169-71.
BACKGROUND AND AIM
To present our experience with unexpected findings during hernia surgery, either unusual hernial contents or pathologic entities, like neoplastic masses, masquerading as a hernia.
PATIENTS AND METHODS
We studied retrospectively 856 patients with inguinal hernia who were admitted to our surgical department over a 9-year period. In addition, our study included patients complaining of inguinal protrusion, even without a definitive diagnosis of inguinal hernia upon admission.
RESULTS
Five patients presented with unusual hernial contents. Three of them had a vermiform appendix in their sac. Acute appendicitis (Amyands hernia) was found in only one case. One patient had epiploic appendagitis related with a groin hernia. Moreover, an adult woman was diagnosed with ovarian and tubal inguinal hernia. Finally, we report a case of a massive extratesticular intrascrotal lipoma, initially misdiagnosed as a scrotal hernia.
CONCLUSION
a hernia surgeon may encounter unexpected intraoperative findings. It is important to be prepared to detect them and apply the appropriate treatment.
背景与目的
介绍我们在疝手术中遇到意外发现的经验，这些发现包括不寻常的疝内容物或病理实体，如伪装成疝的肿瘤肿块。
患者与方法
我们回顾性研究了9年间收治于我院外科的856例腹股沟疝患者。此外，我们的研究还包括那些主诉腹股沟肿物突出的患者，即使入院时未明确诊断为腹股沟疝。
结果
5例患者出现不寻常的疝内容物。其中3例疝囊内有阑尾。仅1例发现急性阑尾炎（艾米安德疝）。1例患者患有与腹股沟疝相关的网膜附件炎。此外，一名成年女性被诊断为卵巢和输卵管腹股沟疝。最后，我们报告一例巨大的阴囊内睾丸外脂肪瘤病例，最初被误诊为阴囊疝。
结论
疝外科医生可能会遇到意外的术中发现。做好准备以检测到这些发现并采取适当的治疗措施很重要。
Zotero 插件