Department for General, Visceral and Vascular Surgery, University Hospital Jena, Erlanger Allee 101, 07745, Jena, Germany.
Hernia. 2012 Jun;16(3):359-61. doi: 10.1007/s10029-010-0751-3. Epub 2010 Nov 23.
We report a very rare case concerning a 69-year-old woman with acute onset pain in the right lower abdomen.
Kidney transplantation for chronic renal insufficiency had been performed 4 years previously. Clinical examination and diagnostic imaging revealed an appendix-associated incisional hernia at the lateral edge of the inguinal scar. We performed a laparoscopic appendectomy and hernia repair with external knots. The postoperative course was uneventful and the patient was discharged on the 5th postoperative day in a good general condition.
Appendix-associated hernias are very rare but can cause severe complications in case of delayed diagnosis, particularly in patients undergoing immunosuppressive treatment.
我们报告了一例非常罕见的病例，涉及一名 69 岁女性，其右下腹部急性疼痛。
4 年前因慢性肾功能不全行肾移植。临床检查和诊断性影像学检查显示腹股沟瘢痕外侧有阑尾相关的切口疝。我们行腹腔镜阑尾切除术和疝修补术，外部打结。术后过程顺利，患者在第 5 天术后一般情况良好出院。
阑尾相关疝非常罕见，但如果诊断延迟，特别是在接受免疫抑制治疗的患者中，可能会导致严重并发症。
