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疝修补术中偶然发现的结核性腹膜炎。

Incidental found tuberculous peritonitis during hernioplasty.

作者信息

Tu Yu-Hsin, Huang Wei-Chang, Lin Wan-Tzu, Fu Jing Tong, Hung Sheng-Chun

机构信息

Department of Urology, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 407219, Taiwan.

Department of Education, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 407219,  Taiwan.

出版信息

J Surg Case Rep. 2025 May 22;2025(5):rjaf328. doi: 10.1093/jscr/rjaf328. eCollection 2025 May.

DOI:10.1093/jscr/rjaf328
PMID:40406455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12095999/
Abstract

We report the case of a 71-year-old male with palpable and painful left inguinal mass who underwent open hernioplasty. During the operation, ~700 ml of ascitic fluid and multiple nodules on the peritoneum were observed upon incision of the hernia sac. Culture and pathological examination confirmed a diagnosis of peritoneal tuberculosis (TB). Abdominal TB is rarely presented as a hernia. We review ten cases of abdominal TB associated with abdominal hernias and discuss surgical techniques and further management options.

摘要

我们报告一例71岁男性患者，其左侧腹股沟可触及肿物且伴有疼痛，接受了开放式疝修补术。手术过程中，切开疝囊时发现约700毫升腹水以及腹膜上的多个结节。培养及病理检查确诊为腹膜结核。腹部结核很少表现为疝。我们回顾了10例与腹部疝相关的腹部结核病例，并讨论了手术技巧及进一步的处理方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1361/12095999/6b2d71cd2e42/rjaf328f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1361/12095999/e522ffcb4c59/rjaf328f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1361/12095999/e452c8f6c9ab/rjaf328f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1361/12095999/6b2d71cd2e42/rjaf328f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1361/12095999/e522ffcb4c59/rjaf328f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1361/12095999/e452c8f6c9ab/rjaf328f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1361/12095999/6b2d71cd2e42/rjaf328f3.jpg

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本文引用的文献

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Clinical, laboratory and evolutionary features of abdominal tuberculosis in comparison with other forms of extrapulmonary tuberculosis.腹腔结核病的临床、实验室和进化特征与其他形式的肺外结核病比较。
Indian J Tuberc. 2022 Apr;69(2):184-190. doi: 10.1016/j.ijtb.2021.07.017. Epub 2021 Aug 5.
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半月线疝合并腹部结核
BMJ Case Rep. 2019 May 15;12(5):e227638. doi: 10.1136/bcr-2018-227638.
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Abdominal reoperation and mesh explantation following open ventral hernia repair with mesh.使用补片进行开放性腹疝修补术后的腹部再次手术及补片取出术
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