PDF(Pubmed)
Abstract：
UNASSIGNED: De Garengeot hernia is a rare case of a femoral hernia. It occurs when a femoral hernia contains a vermiform appendix that may be inflamed and sometimes necrotic, and this requires emergency surgery. However, the hernia is usually discovered by chance in the operating theater, which poses an additional challenge for surgeons.
METHODS: A 64-year-old man presented with a 1-week history of a painful right groin lump. The lump is irreducible and painful on exert a week ago. Ultrasound imaging showed a 1.5 × 2 cm loculated turbid liquid collection containing an edematous intestinal loop measuring 8 mm in diameter that was suspected to be the vermiform appendix. Therefore, appendectomy was performed through the hernia sac. After that, the hernia was repaired using the McVay technique and 2.0 nylon sutures. One day after the operation, the patient was discharged, and he returned to the clinic after 10 days without any complications.
UNASSIGNED: The patient has a history of chronic obstructive pulmonary disease (COPD), which is a risk factor for a hernia. He had to live with the right femoral hernia for ten years until it became painful and irreversible. Ultrasound revealed what appears to be an appendix. To avoid possible consequences of complicated appendicitis and strangulated hernia, emergency surgery was the appropriate choice for our patient case.
CONCLUSIONS: The presence of an appendix in the femoral hernia poses a diagnostic and therapeutic challenge to surgeons, due to the atypical clinical picture and the lack of efficacy of radiographic methods in diagnosing the condition.
METHODS: A 64-year-old man presented with a 1-week history of a painful right groin lump. The lump is irreducible and painful on exert a week ago. Ultrasound imaging showed a 1.5 × 2 cm loculated turbid liquid collection containing an edematous intestinal loop measuring 8 mm in diameter that was suspected to be the vermiform appendix. Therefore, appendectomy was performed through the hernia sac. After that, the hernia was repaired using the McVay technique and 2.0 nylon sutures. One day after the operation, the patient was discharged, and he returned to the clinic after 10 days without any complications.
UNASSIGNED: The patient has a history of chronic obstructive pulmonary disease (COPD), which is a risk factor for a hernia. He had to live with the right femoral hernia for ten years until it became painful and irreversible. Ultrasound revealed what appears to be an appendix. To avoid possible consequences of complicated appendicitis and strangulated hernia, emergency surgery was the appropriate choice for our patient case.
CONCLUSIONS: The presence of an appendix in the femoral hernia poses a diagnostic and therapeutic challenge to surgeons, due to the atypical clinical picture and the lack of efficacy of radiographic methods in diagnosing the condition.
摘要：
■DeGarengeot疝是一种罕见的股疝。当股疝包含一个可能发炎，有时坏死的阑尾时，就会发生这种情况。这需要紧急手术.然而,疝气通常是在手术室偶然发现的，这给外科医生带来了额外的挑战。
方法：一名64岁的男子，有1周的右腹股沟肿块疼痛病史。一个星期前，肿块是不可减少的，疼痛。超声成像显示1.5×2cm的局部浑浊液体集合，其中包含直径8mm的水肿肠环，怀疑是阑尾。因此,通过疝囊进行阑尾切除术。之后,使用McVay技术和2.0尼龙缝线修复疝气.手术后的一天,病人出院了,10天后他回到诊所，没有任何并发症。
■患者有慢性阻塞性肺疾病（COPD）病史，这是疝气的危险因素.他不得不忍受右股疝十年，直到它变得痛苦和不可逆转。超声波显示似乎是阑尾。为了避免复杂的阑尾炎和绞窄疝的可能后果，急诊手术是我们患者的适当选择。
结论：股疝中阑尾的存在对外科医生的诊断和治疗提出了挑战，由于非典型的临床表现和放射学方法在诊断病情方面缺乏功效。
方法：一名64岁的男子，有1周的右腹股沟肿块疼痛病史。一个星期前，肿块是不可减少的，疼痛。超声成像显示1.5×2cm的局部浑浊液体集合，其中包含直径8mm的水肿肠环，怀疑是阑尾。因此,通过疝囊进行阑尾切除术。之后,使用McVay技术和2.0尼龙缝线修复疝气.手术后的一天,病人出院了,10天后他回到诊所，没有任何并发症。
■患者有慢性阻塞性肺疾病（COPD）病史，这是疝气的危险因素.他不得不忍受右股疝十年，直到它变得痛苦和不可逆转。超声波显示似乎是阑尾。为了避免复杂的阑尾炎和绞窄疝的可能后果，急诊手术是我们患者的适当选择。
结论：股疝中阑尾的存在对外科医生的诊断和治疗提出了挑战，由于非典型的临床表现和放射学方法在诊断病情方面缺乏功效。
