Abstract:
We report a case of a 79-year-old woman with a previous history of polycythemia vera, glaucoma and hypertension. Her previous surgeries included a cholecystectomy with an incidental finding of a gallbladder carcinoma with following partial liver resection and a hysterectomy. The surgery department was consulted regarding this patient due to abdominal pain in her lower abdomen and tumor in her right groin. A CT scan of the abdomen was obtained that showed a hernia with the appendix vermiformis in the hernia sac. She was operated with a preperitoneal open approach and an inflamed appendix from a femoral hernia sac was removed and a herniorrhaphy with a mesh was performed. The patient was discharged the day after the surgery. Femoral hernia with the appendix in the hernia sac is a rare type of hernia first descriped by Rene-Jacques De Garengeot in 1731 and now bearing his name.
摘要:
我们报告一例79岁的女性,既往有真性红细胞增多症病史,青光眼和高血压。她以前的手术包括胆囊切除术,偶然发现胆囊癌,随后进行部分肝切除术和子宫切除术。由于该患者的下腹部腹痛和右腹股沟肿瘤,因此咨询了外科部门。获得了腹部的CT扫描,显示疝气囊中有阑尾疣。她采用腹膜前开放方法进行手术,并从股疝囊中取出发炎的阑尾,并进行了带网片的疝修补术。患者在手术后的第二天出院。疝囊中带有阑尾的股疝是Rene-JacquesDeGarengeot于1731年首次描述的一种罕见类型的疝,现在以他的名字命名。