一名男童绞窄性股疝的罕见病例：病例报告。
A rare case of strangulated femoral hernia in a male child: Case report.
作者信息
Numaro Yilkal Teshome, Kebede Molla Asnake, Tekle Alemayehu Beharu, Tesfaye Michael Hawlet, Gossaya Tariku Yigremachew, Techane Adefris Getachew
机构信息
Department of Surgery, Gebre Tsadik Shawo General Hospital, Bonga, Ethiopia.
Department of Medicine, School of Medicine, College of Medicine and Health Sciences, Mizan - Tepi University, Mizan-Teferi, Ethiopia..
出版信息
Int J Surg Case Rep. 2024 Dec;125:110518. doi: 10.1016/j.ijscr.2024.110518. Epub 2024 Oct 24.
BACKGROUND AND IMPORTANCE
Strangulated femoral hernias are rare in pediatric patients. This case highlights the importance of early suspicion and diagnosis to prevent complications.
CASE PRESENTATION
A 14-years old male presented to our emergency department with a two-days history of worsening left groin pain. Clinical examination confirmed the diagnosis of a strangulated femoral hernia. A hernia sac was identified and the content was necrotic adipose tissue. Resection and hernia repair was performed successfully.
CLINICAL DISSECTION
Femoral hernia is an uncommon surgical entity in the pediatric population, and its diagnosis remains a challenge, with an incidence ranging from 0.3 % to 1 %. Unlike in adults, the incidence rates are similar by sex, though, like adults, right-side hernias are more common. However, our case presents with a left-side hernia.
CONCLUSION
Strangulated femoral hernias should be considered in pediatric patients with acute groin pain and a history of reducible hernias. Early diagnosis and prompt surgical intervention are crucial to preventing complications.
背景与重要性
绞窄性股疝在儿科患者中较为罕见。本病例强调了早期怀疑和诊断以预防并发症的重要性。
病例介绍
一名14岁男性因左侧腹股沟疼痛加重两天就诊于我院急诊科。临床检查确诊为绞窄性股疝。发现疝囊，其内容物为坏死脂肪组织。成功进行了疝囊切除及疝修补术。
临床剖析
股疝在儿科人群中是一种不常见的外科疾病，其诊断仍然是一项挑战，发病率在0.3%至1%之间。与成人不同，儿科患者中股疝发病率在性别上相似，不过与成人一样，右侧疝更为常见。然而，我们的病例为左侧疝。
结论
对于有急性腹股沟疼痛且有可复性疝病史的儿科患者，应考虑绞窄性股疝。早期诊断和及时的手术干预对于预防并发症至关重要。
Zotero 插件