PDF(Pubmed)
Abstract：
The caecum and appendix are uncommon contents of femoral hernia (Duari hernia). Diagnosis is usually intraoperative. We report a rare case of obstructed right femoral hernia in a 65-year-old woman. She was admitted into the accident and emergency department because of sudden irreducibility of a previously reducible right groin swelling of 5 years duration. She had obstructive symptoms with an irreducible right groin mass clinically diagnosed as obstructed right femoral hernia. A combination of infra-inguinal transverse incision and a lower midline laparotomy incision was used. The intraoperative findings included the herniation of the caecum and appendix into the right femoral canal. Patient had an uneventful recovery. Duari hernia is uncommon. A high index of suspicion and an experienced surgeon, who can handle uncommon findings should be involved in the management of obstructed femoral hernias.
UNASSIGNED: None declared.
UNASSIGNED: None declared.
摘要：
盲肠和阑尾是股疝（Duari疝）的罕见内容。诊断通常是术中诊断。我们报告了一例罕见的65岁女性右股疝梗阻病例。由于先前可减少的右腹股沟肿胀持续5年，突然无法减少，她被送入事故和急诊科。她有阻塞性症状，右腹股沟肿块不可减少，临床诊断为阻塞右股疝。使用腹股沟下横切口和下中线剖腹切口的组合。术中发现包括盲肠和阑尾疝入右股管。患者恢复顺利。Duari疝并不常见。高度怀疑和经验丰富的外科医生，谁能处理罕见的发现应该参与治疗阻塞性股疝。
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