Ebisawa Kiyoko, Yamazaki Shintaro, Kimura Yuki, Kashio Mitsuhiko, Kurito Katsumi, Yasumuro Seigo, Nishida Shigeru, Takayama Tadatoshi
Department of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan.
Case Rep Gastroenterol. 2009 Nov 20;3(3):313-317. doi: 10.1159/000250821.
Appendicitis and incarcerated hernia are frequently encountered reasons of emergency surgery for acute abdomen. The treatment in early stages of each condition is generally simple, but when these conditions are combined, the symptoms become slightly complicated, obscuring specific symptoms. Especially the lack of symptoms for appendicitis leads to delayed diagnosis, resulting in high morbidity. Amyand hernia, which contains appendix in its inguinal hernia sac, is perhaps more familiar to the general surgeons than De Garengeot hernia, which is an incarcerated femoral hernia with an appendix in its sac. We report the case of a 90-year-old female with incarcerated femoral hernia who underwent emergency hernioplasty only to reveal an inflamed appendix in its sac. The patient underwent both appendectomy and hernia repair simultaneously with synthetic mesh and was discharged on postoperative day 7 without any complications. We will also discuss the physical and radiological findings of De Garengeot hernia.
阑尾炎和嵌顿疝是常见的急腹症急诊手术原因。每种疾病早期的治疗通常较为简单，但当这两种情况合并时，症状会变得稍复杂，使特定症状模糊不清。尤其是阑尾炎症状的缺乏会导致诊断延迟，从而导致高发病率。比起股疝囊内含有阑尾的德加朗热疝，腹股沟疝囊内含有阑尾的艾米安德疝可能更被普通外科医生所熟知。我们报告一例90岁女性嵌顿性股疝患者，该患者接受了急诊疝修补术，结果发现疝囊内阑尾发炎。患者同时进行了阑尾切除术和使用合成补片的疝修补术，术后第7天出院，无任何并发症。我们还将讨论德加朗热疝的体格检查和影像学表现。
