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老年女性尸体中的腹股沟斜疝和食管裂孔疝:1例罕见病例报告

Indirect Inguinal Hernia and Hiatal Hernia in an Elderly Female Cadaver: A Report of a Rare Case.

作者信息

Desai Yash, Patel Prutha, Lydon McKenzie, Breiner Michael

机构信息

Anatomy/Surgery, Edward Via College of Osteopathic Medicine, Blacksburg, USA.

Surgery, Edward Via College of Osteopathic Medicine, Blacksburg, USA.

出版信息

Cureus. 2025 Jan 12;17(1):e77327. doi: 10.7759/cureus.77327. eCollection 2025 Jan.

DOI:10.7759/cureus.77327
PMID:39944458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11813639/
Abstract

This case report highlights the rare co-occurrence of an indirect inguinal hernia and a hiatal hernia identified in a 92-year-old female formalin-fixed whole-body donor. While indirect inguinal hernias are relatively uncommon in women, the simultaneous presence of a hiatal hernia adds to the uniqueness of this case. This discovery offers an opportunity to explore the anatomical, clinical, and embryological factors contributing to hernia formation, as well as the incidence rates and sex-related disparities in their occurrence. The findings are contextualized within the donor's advanced age and suspected chronic respiratory disease, which likely contributed to increased intra-abdominal pressure and weakened connective tissue integrity. The authors obtained appropriate permissions and approvals for the use of data and images, adhering to institutional ethical guidelines and ensuring compliance with donor consent protocols.

摘要

本病例报告强调了在一名92岁女性福尔马林固定全身供体中罕见地同时出现间接腹股沟疝和食管裂孔疝。虽然间接腹股沟疝在女性中相对不常见,但同时存在食管裂孔疝增加了该病例的独特性。这一发现为探索导致疝形成的解剖学、临床和胚胎学因素,以及它们发生的发病率和性别差异提供了机会。这些发现结合了供体的高龄和疑似慢性呼吸道疾病,这可能导致腹内压升高和结缔组织完整性减弱。作者获得了使用数据和图像的适当许可和批准,遵守机构伦理准则并确保符合供体同意协议。

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Indirect Inguinal Hernia and Hiatal Hernia in an Elderly Female Cadaver: A Report of a Rare Case.老年女性尸体中的腹股沟斜疝和食管裂孔疝:1例罕见病例报告
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本文引用的文献

1
Twelve-year outcomes of watchful waiting versus surgery of mildly symptomatic or asymptomatic inguinal hernia in men aged 50 years and older: a randomised controlled trial.50岁及以上男性轻度症状性或无症状腹股沟疝的观察等待与手术治疗的12年结局:一项随机对照试验
EClinicalMedicine. 2023 Sep 15;64:102207. doi: 10.1016/j.eclinm.2023.102207. eCollection 2023 Oct.
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Study of Demographics, Clinical Profile and Risk Factors of Inguinal Hernia: A Public Health Problem in Elderly Males.腹股沟疝的人口统计学、临床特征及危险因素研究:老年男性中的一个公共卫生问题
Cureus. 2023 Apr 24;15(4):e38053. doi: 10.7759/cureus.38053. eCollection 2023 Apr.
3
Congenital collagenopathies increased the risk of inguinal hernia developing and repair: analysis from a nationwide population-based cohort study.
先天性胶原病增加了腹股沟疝发生和修复的风险:基于全国人群队列研究的分析。
Sci Rep. 2022 Feb 11;12(1):2360. doi: 10.1038/s41598-022-06367-5.
4
Fascinating history of groin hernias: Comprehensive recognition of anatomy, classic considerations for herniorrhaphy, and current controversies in hernioplasty.腹股沟疝的迷人历史:对解剖结构的全面认识、疝修补术的经典考量以及疝成形术的当前争议。
World J Methodol. 2021 Jul 20;11(4):160-186. doi: 10.5662/wjm.v11.i4.160.
5
Hiatal hernia prevalence and natural history on non-contrast CT in the Multi-Ethnic Study of Atherosclerosis (MESA).食管裂孔疝在非对比 CT 中的患病率和自然史:多民族动脉粥样硬化研究(MESA)。
BMJ Open Gastroenterol. 2021 Mar;8(1). doi: 10.1136/bmjgast-2020-000565.
6
The application of single-port laparoscopic percutaneous internal ring suture for the management of indirect inguinal hernia in female adults.经脐单孔腹腔镜经皮内环缝合术治疗成年女性腹股沟斜疝。
Sci Rep. 2020 Oct 1;10(1):16244. doi: 10.1038/s41598-020-73171-4.
7
A rare encounter of obstructed direct inguinal hernia of sliding variety.罕见的滑动型腹股沟直疝嵌顿病例。
Int J Surg Case Rep. 2018;49:209-214. doi: 10.1016/j.ijscr.2018.06.025. Epub 2018 Jun 28.
8
Evidence-Based Hernia Treatment in Adults.成人疝气的循证治疗
Dtsch Arztebl Int. 2016 Mar 4;113(9):150-7; quiz 158. doi: 10.3238/arztebl.2016.0150.
9
European Hernia Society guidelines on the treatment of inguinal hernia in adult patients.欧洲疝学会关于成人腹股沟疝治疗的指南。
Hernia. 2009 Aug;13(4):343-403. doi: 10.1007/s10029-009-0529-7. Epub 2009 Jul 28.
10
Approaches to the diagnosis and grading of hiatal hernia.食管裂孔疝的诊断与分级方法。
Best Pract Res Clin Gastroenterol. 2008;22(4):601-16. doi: 10.1016/j.bpg.2007.12.007.