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血栓性大隐静脉曲张:绞窄性股疝的一种重要且不常见的鉴别诊断。

Thrombosed sapheno-varix: an important and unusual differential diagnosis of strangulated femoral hernia.

作者信息

Owen T D

机构信息

Department of Surgery, East Glamorgan Hospital, Church Village, Pontypridd, Mid Glamorgan.

出版信息

Br J Clin Pract. 1990 Dec;44(12):754.

PMID:2102229
Abstract

An incarcerated femoral hernia often requires prompt operative management to decrease the risk of bowel strangulation, perforation and death from peritonitis. We present a case of a 60-year-old man who had a clinically irreducible right femoral hernia, and in whom a Richter's hernia could not be excluded. He was found to have a thrombosed sapheno-varix with no evidence of a femoral hernia. Thrombosed sapheno-varix presenting as a strangulated femoral hernia has never previously been described in the literature.

摘要

嵌顿性股疝通常需要迅速进行手术治疗,以降低肠绞窄、穿孔及腹膜炎致死的风险。我们报告一例60岁男性患者,其右侧股疝临床上无法还纳,且不能排除里脱氏疝。结果发现他患有大隐静脉曲张血栓形成,未发现股疝迹象。文献中此前从未有过将血栓形成的大隐静脉曲张表现为绞窄性股疝的报道。

相似文献

1
Thrombosed sapheno-varix: an important and unusual differential diagnosis of strangulated femoral hernia.血栓性大隐静脉曲张:绞窄性股疝的一种重要且不常见的鉴别诊断。
Br J Clin Pract. 1990 Dec;44(12):754.
2
Thrombosed sapheno-varix presenting as an incarcerated femoral hernia in a postpartum woman.一名产后妇女出现血栓性大隐静脉曲张,表现为嵌顿性股疝。
J Obstet Gynaecol. 2003 Jul;23(4):456-7. doi: 10.1080/0144361031000122787.
3
[Differential-diagnostic symptoms of femoral hernia and isolated varicose enlargment of the great saphenous vein of the lower extremity].[股疝与下肢大隐静脉单纯性静脉曲张的鉴别诊断症状]
Vestn Khir Im I I Grek. 1975 Apr;114(4):120-2.
4
Richter's hernia--a surgical pitfall.里氏疝——手术中的一个陷阱。
J Am Coll Surg. 1996 Jan;182(1):60-2.
5
Gangrenous Richter's hernia with intrasac abscess.伴有囊内脓肿的坏疽性里脱疝
Trop Gastroenterol. 2002 Oct-Dec;23(4):195.
6
[Thrombosis of an aneurysmatically dilated large subcutaneous vein simulating strangulated femoral hernia].[动脉瘤样扩张的大皮下静脉血栓形成,酷似绞窄性股疝]
Vestn Khir Im I I Grek. 1979 Jan;122(1):92-4.
7
[Richter's hernia. An unusual disease course and incidence in a personal patient sample].[里氏疝。个人患者样本中的异常病程及发病率]
Chirurg. 1993 Oct;64(10):822-6.
8
[Difficulties of diagnosis and treatment of Richter's hernias].[里氏疝的诊断与治疗难点]
Vestn Khir Im I I Grek. 1979 Nov;123(11):55-8.
9
[A frequent diagnostic error: ampullar dilatation of the arch of the internal saphenous vein mistaken for a crural hernia].[一种常见的诊断错误:大隐静脉弓壶腹扩张被误诊为小腿疝]
Phlebologie. 1965 Jul-Sep;18(3):231-3.
10
Thrombosed orbital varix -- a correlation between imaging studies and histopathology.血栓形成性眶静脉曲张——影像学研究与组织病理学之间的相关性
Orbit. 2004 Mar;23(1):13-8. doi: 10.1076/orbi.23.1.13.28987.

引用本文的文献

1
Saphena varix: The venous golf ball.大隐静脉曲张:静脉“高尔夫球”。
J Vasc Surg Venous Lymphat Disord. 2025 Jan;13(1):101916. doi: 10.1016/j.jvsv.2024.101916. Epub 2024 May 27.