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BMJ Case Rep. 2017 Aug 20;2017:bcr-2017-221216. doi: 10.1136/bcr-2017-221216.
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Should the macroscopically normal appendix be removed during laparoscopy for acute right iliac fossa pain when no other explanatory pathology is found?当在腹腔镜检查中未发现其他可解释的病变时，对于急性右下腹疼痛，是否应切除宏观上正常的阑尾？
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引用本文的文献

1
Vermiform Appendix within Post-Laparoscopic Incisional Hernia: A Unique Case Report and Literature Review.腹腔镜切口疝内阑尾：一个独特的病例报告及文献复习。
Medicina (Kaunas). 2023 Mar 10;59(3):538. doi: 10.3390/medicina59030538.
2
Appendicitis in an incisional hernia sac following renal transplantation: A case report and brief review of the literature.肾移植术后切口疝囊内阑尾炎：一例报告并文献简要回顾
Radiol Case Rep. 2021 May 1;16(7):1736-1739. doi: 10.1016/j.radcr.2021.04.026. eCollection 2021 Jul.
3
Appendiceal hernia: an extremely rare condition.阑尾疝：一种极为罕见的病症。
Ann R Coll Surg Engl. 2021 Feb;103(2):e50-e52. doi: 10.1308/rcsann.2020.7000.
4
Appendicitis due to incarceration within a laparoscopic umbilical port-site hernia secondary to a degree of intestinal malrotation.因一定程度的肠旋转不良继发于腹腔镜脐部切口疝内的肠管嵌顿而导致的阑尾炎。
Ann R Coll Surg Engl. 2019 May;101(5):e119-e121. doi: 10.1308/rcsann.2019.0034. Epub 2019 Mar 11.

本文引用的文献

1
Appendicitis found in an incisional hernia.在切口疝中发现阑尾炎。
J Surg Case Rep. 2012 Aug 1;2012(8):3. doi: 10.1093/jscr/2012.8.3.
2
Atypical incisional hernia following Pfannenstiel incision.Pfannenstiel 切口术后非典型切口疝。
Hernia. 2013 Aug;17(4):479-82. doi: 10.1007/s10029-012-0994-2. Epub 2012 Sep 28.
3
Should the macroscopically normal appendix be removed during laparoscopy for acute right iliac fossa pain when no other explanatory pathology is found?当在腹腔镜检查中未发现其他可解释的病变时，对于急性右下腹疼痛，是否应切除宏观上正常的阑尾？
Surg Laparosc Endosc Percutan Tech. 2009 Oct;19(5):392-4. doi: 10.1097/SLE.0b013e3181b71957.
4
Review article: appendicitis in groin hernias.综述文章：腹股沟疝合并阑尾炎
J Gastrointest Surg. 2007 Oct;11(10):1368-72. doi: 10.1007/s11605-007-0160-9. Epub 2007 Mar 30.
5
Amyand's hernia: a report of 18 consecutive patients over a 15-year period.艾米安德疝：15年间连续18例患者的报告。
Hernia. 2007 Feb;11(1):31-5. doi: 10.1007/s10029-006-0153-8. Epub 2006 Sep 26.
6
Uncommon content in groin hernia sac.腹股沟疝囊内的罕见内容物。
Hernia. 2006 Apr;10(2):152-5. doi: 10.1007/s10029-005-0036-4. Epub 2005 Sep 20.
7
The low transverse Pfannenstiel incision and the prevalence of incisional hernia and nerve entrapment.低位横切口耻骨联合上横切口与切口疝及神经卡压的发生率
Ann Surg. 1997 Apr;225(4):365-9. doi: 10.1097/00000658-199704000-00004.
8
Should the 'normal' appendix be removed at operation for appendicitis?阑尾炎手术时是否应切除“正常”阑尾？
J R Coll Surg Edinb. 1993 Jun;38(3):158-60.

切口疝内的阑尾

Vermiform appendix within incisional hernia.

作者信息

Kler Aaron, Hossain Naveed, Singh Sandeep, Scarpinata Rosaria

机构信息

General Surgery, Princess Royal University Hospital, Orpington, Kent, United Kingdom.

Department of General Surgery, Princess Royal University Hospital, Orpington, UK.

出版信息

BMJ Case Rep. 2017 Aug 20;2017:bcr-2017-221216. doi: 10.1136/bcr-2017-221216.

DOI:10.1136/bcr-2017-221216
PMID:28827432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5623984/
Abstract

The vermiform appendix (whether inflamed or not) within a hernia is very rare occurrence. We present the unprecedented case of a normal appendix found within a Pfannenstiel incisional hernia. A diagnostic laparoscopy was performed as appendicitis was suspected. However, the tip of a normal appendix was visualised within a previous Pfannenstiel incision. Laparoscopic appendicectomy was carried successfully and the patient was discharged. The patient later returned for a successful elective laparoscopic incisional hernia repair.

摘要

疝内的阑尾（无论是否发炎）是非常罕见的情况。我们报告了一例前所未有的病例，即在Pfannenstiel切口疝内发现了正常阑尾。由于怀疑患有阑尾炎，进行了诊断性腹腔镜检查。然而，在先前的Pfannenstiel切口内看到了正常阑尾的尖端。成功进行了腹腔镜阑尾切除术，患者出院。患者后来再次前来成功接受了择期腹腔镜切口疝修补术。