Serrano A, Ackerman N B
Arch Surg. 1979 Aug;114(8):968. doi: 10.1001/archsurg.1979.01370320100021.
Although perforated appendicitis in an incarcerated hernia is an uncommon condition, the clinical manifestations vary from relatively benign to much more serious, depending on whether the septic process is limited to the hernial canal and sac or if there is intraperitoneal contamination. The patient described in this report had minimal symptoms other than a slightly tender, irreducible inguinal hernia. He easily tolerated resection of the appendix and contiguous inguinal tissues, with a primary repair of the inguinal hernia.
虽然嵌顿疝合并穿孔性阑尾炎是一种少见的情况，但其临床表现从相对良性到严重程度不等，这取决于感染过程是否局限于疝管和疝囊，或者是否存在腹腔内污染。本报告中描述的患者除了有一个轻度压痛、不可还纳的腹股沟疝外，症状轻微。他轻松耐受了阑尾及相邻腹股沟组织的切除，并对腹股沟疝进行了一期修补。
