关键词: Amyand hernia De Garengeot hernia appendicitis appendix computed tomography femoral hernia inguinal

来  源:   DOI:10.1093/bjrcr/uaae009   PDF(Pubmed)

Abstract:
We report a case of \"De Garengeot\'s hernia\" (DGH), a rare condition that occurs when the inflamed appendix is localized inside a femoral hernia. The appendix may be involved in inflammatory or necrotic processes and the treatment is emergency surgery. It is usually discovered by chance during surgery. It occurs in 0.5%-5% of all femoral hernias. In 0.08%-0.13% of cases, the appendix can present inflammatory or necrotic processes due to the narrowness of the neck of the femoral canal; in these cases, an emergency surgery is required through a no standard surgical procedure. In the other cases, it is usually found accidentally during surgical repair of the hernia or more rarely diagnosed preoperatively by CT. Therefore, the purpose of our study is to report a case of DGH describing CT main findings in order to improve the preoperative diagnosis.
摘要:
我们报告了一例“DeGarengeot疝气”(DGH),当发炎的阑尾位于股疝内部时发生的一种罕见疾病。阑尾可能参与炎症或坏死过程,治疗是急诊手术。它通常是在手术过程中偶然发现的。它发生在所有股疝的0.5%-5%。在0.08%-0.13%的病例中,由于股管颈部狭窄,阑尾可能会出现炎症或坏死过程;在这些情况下,需要通过无标准外科手术进行紧急手术。在其他情况下,它通常是在疝的手术修补术中偶然发现的,或者很少在术前通过CT诊断。因此,我们研究的目的是报告一例DGH,描述CT的主要发现,以提高术前诊断。
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