Ulucay Kerim Erdem, Younis Muhammad Umar
Department of General Surgery, Canadian Specialist Hospital Dubai, UAE.
J Ayub Med Coll Abbottabad. 2017 Apr-Jun;29(2):344-346.
Among the complications of an open appendectomy is the presentation of an incisional hernia. An interstitial or interparietal hernia is the one in which the hernia sac is present between the muscle layers of the abdominal wall which makes the presentation of a post-operative incisional interstitial hernia quite a rarity. A 52-year-old female was admitted through the outpatient clinic presenting with the complaints of discomfort and a bulge felt in the right hypochondrium for the last 3 years. Radiological investigations were able to delineate an interstitial incisional hernia through the previous open appendectomy scar. A laparoscopic approach to repair of this hernia was successfully undertaken without any complications. This is an interesting case of incisional hernia that may pose a diagnostic challenge to the unsuspecting surgeon with an unusual presentation which may cause unnecessary delays in treatment as well as unnecessary operations. Very few comparable cases can be found in literature.
开腹阑尾切除术后的并发症之一是切口疝。间质性或腹间疝是指疝囊位于腹壁肌肉层之间的疝，因此术后切口间质性疝的出现相当罕见。一名52岁女性通过门诊入院，主诉在过去3年中右季肋部不适并有肿块感。影像学检查通过既往开腹阑尾切除术瘢痕发现了一个间质性切口疝。成功采用腹腔镜方法修复了该疝，未出现任何并发症。这是一例有趣的切口疝病例，其不寻常的表现可能会给毫无防备的外科医生带来诊断挑战，可能导致治疗不必要的延迟以及不必要的手术。文献中很少能找到类似病例。
