Turanlı Sevim, Yüksel Murat Ulvi, Pirhan Yavuz, Çetin Abdullah
Department of General Surgery, Ankara Oncology Training and Research Hospital, Ankara, Turkey.
Ulus Travma Acil Cerrahi Derg. 2011 Sep;17(5):467-9.
A 54-year-old male complained of a continuous pain together with an irreducible swelling of the left inguinal region 8 hours prior to admission to the surgical emergency department. His physical examination revealed a very painful, erythematous, irreducible swelling in the left inguinal region without abdominal peritoneal irritation. Routine blood tests disclosed mild leukocytosis. Abdominal plain X-ray film was not specific, and ultrasonography revealed a 10 cm in length inactive, edematous intestinal section within the inguinal hernia. With the diagnosis of strangulated inguinal hernia, he underwent surgical exploration through a transverse inguinal incision. By opening the hernia sac, 6-8 cc inflammatory fluid drained out, and an inflamed vermiform appendix adhered to the inner surface of the sac was seen. Appendicectomy and primary hernia repair were performed at the same time through the inguinal incision. The postoperative course was uneventful, and the histological examination of the specimen revealed an inflamed appendix.
一名54岁男性在进入外科急诊室前8小时，主诉左腹股沟区持续疼痛并伴有不可复性肿胀。体格检查发现左腹股沟区有非常疼痛、红斑性、不可复性肿胀，无腹膜刺激征。血常规检查显示轻度白细胞增多。腹部平片无特异性，超声检查发现腹股沟疝内有一段10厘米长的无活性、水肿肠段。诊断为绞窄性腹股沟疝后，他通过腹股沟横切口进行了手术探查。打开疝囊后，引出6 - 8毫升炎性液体，可见一个发炎的阑尾附着在疝囊内表面。通过腹股沟切口同时进行了阑尾切除术和疝修补术。术后过程顺利，标本的组织学检查显示阑尾发炎。
