Tam P K, Lister J
Arch Surg. 1984 Oct;119(10):1161-4. doi: 10.1001/archsurg.1984.01390220045010.
During a period of ten years, 20 children with femoral hernias were treated at Alder Hey Children's Hospital, Liverpool, England. Unfamiliarity with the occurrence of femoral hernias in children resulted in a correct diagnosis in only three (15%) of the 20 cases by the referring physician and in only 13 (65%) of the cases by the first surgeon to see the child. Misdiagnosis included inguinal hernia (four cases), lymphadenitis (two cases), and lymphangioma (one case). In two cases, misdiagnosis resulted in mistreatment; one child had the wrong operation performed, and delay in surgery in another resulted in strangulation of the omentum in the hernial sac. Treatment is by operation, which, despite the wide variety of procedures employed, was successful in 18 of the 20 cases. The two recurrences were due to the performance of inadequate operations; recurrence was really persistent, as the femoral pad of fat was removed but the sac was missed. The positive identification of the hernial sac is imperative.
在十年期间，英国利物浦奥尔德希儿童医院收治了20例患有股疝的儿童。由于对儿童股疝的发生情况不熟悉，转诊医生仅在20例中的3例（15%）做出了正确诊断，而首位接诊患儿的外科医生仅在13例（65%）中做出了正确诊断。误诊包括腹股沟疝（4例）、淋巴结炎（2例）和淋巴管瘤（1例）。在2例中，误诊导致了不当治疗；1例患儿接受了错误的手术，另1例手术延误导致疝囊内大网膜绞窄。治疗方法是手术，尽管采用了多种手术方式，但20例中有18例手术成功。2例复发是由于手术操作不当；复发实际上是持续性的，因为切除了股部脂肪垫但遗漏了疝囊。准确识别疝囊至关重要。
