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艾米安德疝:嵌顿性腹股沟疝合并阑尾穿孔

Amyand's Hernia: Perforated Appendix in an Incarcerated Inguinal Hernia.

作者信息

Gupta Anupam K, Vazquez Oscar A, El Haddi James, Dedwylder Michael, Yeguez Jose F

机构信息

Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

出版信息

Cureus. 2020 Apr 10;12(4):e7622. doi: 10.7759/cureus.7622.

Abstract

Amyand's hernia is an unusual condition characterized by the presence of a normal or inflamed appendix located within an inguinal hernia. We present a rare situation wherein a 56-year-old male patient presented with an incarcerated inflamed appendix in a right inguinal hernia. He was emergently taken to the operating room, with diagnostic laparoscopy changed to open, due to incarcerated cecum and terminal ileum. The incarcerated segment had to be resected with primary anastomosis. The inflamed and purulent contents were washed out, and the hernia defect was left unrepaired due to the presence of abscess in the inguinal canal.

摘要

艾米安德疝是一种罕见病症,其特征为腹股沟疝内存在正常或发炎的阑尾。我们呈现了一种罕见情况,一名56岁男性患者因右侧腹股沟疝合并嵌顿性发炎阑尾前来就诊。由于盲肠和回肠末端嵌顿,他被紧急送往手术室,原本的诊断性腹腔镜检查改为开放手术。嵌顿段不得不进行切除并一期吻合。冲洗掉发炎和化脓的内容物,由于腹股沟管存在脓肿,疝缺损未予修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/93cbe4605e2a/cureus-0012-00000007622-i01.jpg

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