Lam Aky, Black J, Parnell B, West C T
Epsom and St Helier University Hospitals NHS Trust.
Brighton and Sussex University Hospitals NHS Trust.
Ann R Coll Surg Engl. 2019 May;101(5):e119-e121. doi: 10.1308/rcsann.2019.0034. Epub 2019 Mar 11.
A 37-year-old woman presented with an incarcerated hernia at a previous umbilical laparoscopic port site. This was found to contain an ischaemic appendix, which was managed successfully with open appendicectomy and a mesh repair. Previous imaging from a year prior to these events demonstrated a degree of intestinal malrotation with the caecal pole lying just under the umbilicus. Finding the appendix within an incisional port site is very rare, for this to occur at the umbilicus is unique.
一名37岁女性因先前脐部腹腔镜手术切口处出现嵌顿疝前来就诊。发现疝内容物为缺血性阑尾，通过开放阑尾切除术和补片修补术成功处理。这些事件发生前一年的影像学检查显示存在一定程度的肠旋转不良，盲肠极位于脐部下。阑尾出现在手术切口处非常罕见，而发生在脐部则更是独一无二。
