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德加兰热(De Garengeot)疝:一位 81 岁女性的超声和计算机断层扫描表现。

De Garengeot hernia: the ultrasound and computed tomographic findings in an 81-year-old woman.

机构信息

Department of Surgery, the Fourth Affiliated Hospital, China Medical University, Shenyang, Liaoning Province, China.

Department of Surgery, the Fourth Affiliated Hospital, China Medical University, Shenyang, Liaoning Province, China.

出版信息

Am J Emerg Med. 2014 May;32(5):486.e5-6. doi: 10.1016/j.ajem.2013.11.003. Epub 2013 Nov 8.

Abstract

The presence of appendix within a femoral hernia is a rare condition in an incarcerated femoral hernia. It has a characteristic groin mass, and the diagnosis of appendicitis is mainly made intraoperatively. A specific imaging appearance (ultrasonography, computed tomography [CT]) allows accurate prospective diagnosis. The recognition of this rare femoral hernia helps us to choose appropriate therapeutic approach. We report a case of an 81-year-old woman who present with painful and nonreducible groin mass. The ultrasonography and CT characteristic imaging features successfully diagnosed de Garengeot hernia. To our knowledge, this is the first description of a combination of CT and ultrasound in the preoperative diagnosis.

摘要

股疝内存在阑尾是嵌顿性股疝中一种罕见的情况。它具有特征性的腹股沟肿块,阑尾炎的诊断主要是在术中做出的。特定的影像学表现(超声、计算机断层扫描 [CT])可实现准确的前瞻性诊断。认识到这种罕见的股疝有助于我们选择合适的治疗方法。我们报告了一例 81 岁女性,其表现为疼痛且不可复性的腹股沟肿块。超声和 CT 的特征性影像学特征成功诊断了 de Garengeot 疝。据我们所知,这是首例在术前诊断中结合 CT 和超声的描述。

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