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德加兰热(De Garengeot)疝:早期诊断的重要性及其并发症。

De Garengeot's hernia: the importance of early diagnosis and its complications.

机构信息

Department of Surgery, Gulhane Military Medical Academy, Ankara, Turkey.

出版信息

Hernia. 2012 Dec;16(6):731-3. doi: 10.1007/s10029-011-0814-0. Epub 2011 Mar 24.

Abstract

De Garengeot's hernia is a rare condition of acute appendicitis in an incarcerated femoral hernia. A 65-year-old woman was admitted to the emergency room with a 3-day history of a painful and non-reducible mass in her right groin. The patient underwent emergency surgery. At exploration, an acute appendicitis in an incarcerated femoral hernia was identified, likely prediagnosed by computed tomography. The postoperative period was uneventful. In De Garengeot's hernia, early diagnosis is important to reduce the morbidity rate. The surgical approach should be designed according to the condition of the patient, the anatomical position of the appendix vermiformis, and the likelihood of complications.

摘要

德加林热疝是嵌顿股疝中一种罕见的急性阑尾炎病例。一名 65 岁女性因右腹股沟疼痛且不可复性肿块 3 天而被收入急诊室。患者接受了紧急手术。探查时发现为嵌顿股疝中的急性阑尾炎,可能通过计算机断层扫描预先诊断。术后恢复顺利。在德加林热疝中,早期诊断对于降低发病率很重要。手术方式应根据患者的情况、阑尾蚓突的解剖位置以及并发症的可能性来设计。

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