1例伴有急性阑尾炎的加朗若疝病例及文献复习
A case of De Garengeot's hernia with acute appendicitis and literature review.
作者信息
Fousekis Fotios S, Christou Panagiota A, Gkogkos Spyridon, Aggeli Panagiota, Pappas-Gogos George
机构信息
Department of Gastroenterology, Filiates General Hospital, Greece.
Department of Internal Medicine, Filiates General Hospital, Greece.
出版信息
Int J Surg Case Rep. 2018;49:55-57. doi: 10.1016/j.ijscr.2018.06.007. Epub 2018 Jun 23.
Abstract
BACKGROUND
De Garengeot hernia is defined as femoral hernia containing appendix. An acute appendicitis in a femoral hernia is a extremely unusual surgical finding and occurs in 0.08%-0.013% of all cases.
CASE REPORT
We report the case of an elderly woman, who presented with a typical clinical image of incarcerated femoral hernia and underwent open surgery. An infrainguinal incision was performed and after the dissection of hernia sac, an acute appendicitis within femoral hernia was revealed. Subsequently, appendectomy and hernioplasty were performed.
CONCLUSION
Acute appendicitis within femoral hernia should be included in differential diagnosis of patients presenting with clinical signs of an incarcerated femoral hernia and prompt surgical treatment is essential in order to avoid severe complications.
摘要
背景
德加伦若疝被定义为包含阑尾的股疝。股疝合并急性阑尾炎是一种极为罕见的外科发现，在所有病例中发生率为0.08% - 0.013%。
病例报告
我们报告一例老年女性病例，该患者表现为典型的嵌顿性股疝临床症状并接受了开放手术。做了腹股沟下切口，在分离疝囊后，发现股疝内有急性阑尾炎。随后，进行了阑尾切除术和疝修补术。
结论
股疝合并急性阑尾炎应纳入有嵌顿性股疝临床体征患者的鉴别诊断中，及时手术治疗对于避免严重并发症至关重要。
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De Garengeot hernia with perforated appendicitis and a groin subcutaneous abscess: A case report.伴有穿孔性阑尾炎和腹股沟皮下脓肿的加朗若疝：一例报告
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