Ervig K, Dunn R, Lüchtrath H
Dtsch Med Wochenschr. 1987 May 15;112(20):805-6. doi: 10.1055/s-2008-1068144.
In a 52 year old pyknic patient in whom very violent pain had suddenly occurred in the left lower abdomen, an acute hemorrhagic infarction of an epiploic appendix of the sigmoid colon with adhesion to the anterior abdominal wall was found to be the cause of the symptoms. A hernia, above all a hernia of the semilunar line of Spigelius, an inflammatory process and a granuloma had to be considered in the differential diagnosis.
在一名52岁矮胖体型患者中,其左下腹突然出现剧烈疼痛,发现乙状结肠系膜阑尾急性出血性梗死并与前腹壁粘连是症状的病因。鉴别诊断时必须考虑疝气,尤其是半月线Spigelius疝、炎症过程和肉芽肿。