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一名被诊断为左侧腹股沟疝和腹股沟管胚胎发育异常的患者的临床病例。

Clinical case of a patient diagnosed with sinister inguinal hernia and disembriogenesis of the inguinal canal.

作者信息

Jonkov A, Todorov R, Katibova S, Dimitrova V

出版信息

Khirurgiia (Sofiia). 2014(2):90-5.

Abstract

Hernia (lat. - rupture, burst) or protrusion represents the act of escape of tissue, organ or an organ constituent through an innate or acquired fault of the muscle or the connective tissue membrane. The inguinal hernia, also known as groin hernia, rates one of the most frequent surgical conditions. It is manifested by all ages, however is more common in males. The inguinal hernia exhibits by the protrusion of abdominal organs or their segments, for instance portions of the small or large intestine, into the inguinal canal. The groin hernias classify into two subtypes--direct and indirect, and also acquired and inherited. Two kind of anomalies exist--anomalies connected with the obliteration of processus vaginalis peritonei and anomalies connected with the embryogenessis of the inguinal canal. We present a clinical case of a 59-years-old male presenting with emerged arch-like protuberance in the sinister groin region, enlarging during physical effort and strain, accompanied by a strong, harsh pain. Intraoperatively it was discovered a disembryogenessis of the inguinal canal, a total lack of the front wall of the canal itself, a lack of formed superficial inguinal opening and inobliterated processus vaginalis peritonei.

摘要

疝(拉丁语 - 破裂、爆裂)或突出是指组织、器官或器官组成部分通过肌肉或结缔组织膜的先天性或后天性缺陷而脱出的现象。腹股沟疝,也称为腹股沟疝,是最常见的外科病症之一。各年龄段均可发病,但在男性中更为常见。腹股沟疝表现为腹部器官或其节段(如小肠或大肠的部分)突出到腹股沟管。腹股沟疝分为两种亚型 - 直疝和斜疝,也可分为后天性和遗传性。存在两种异常情况 - 与腹膜鞘突闭塞相关的异常以及与腹股沟管胚胎发育相关的异常。我们报告一例临床病例,一名59岁男性,左侧腹股沟区出现弓形突出物,在体力活动和用力时增大,并伴有强烈的剧痛。术中发现腹股沟管胚胎发育异常,管本身前壁完全缺失,未形成浅表腹股沟环且腹膜鞘突未闭塞。

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