PDF(Pubmed)
Abstract：
Inguinal hernia is common. However, only a few cases have been reported in the literature of inguinal interparietal hernia, in which the herniated sac exits the intraperitoneal cavity through the deep inguinal ring and then protrudes into one of the anatomical planes of the anterior abdominal wall. Only one of the reported inguinal interparietal hernia cases was managed laparoscopically. We report the case of a right inguinal interparietal hernia in a young, healthy adult with a herniated cecum, terminal ileum, and appendix. He presented with right iliac fossa pain. On investigation, he was found to have an interparietal hernia in the inguinal region. Diagnostic laparoscopy showed a clear herniated cecum through the internal inguinal ring into the anterior abdominal wall. The patient was treated with regular laparoscopic hernioplasty and was discharged on the second postoperative day with no complications. Although the diagnosis might be difficult for interparietal hernias, laparoscopic diagnosis and management provide precise assessment and less invasive management.
摘要：
腹股沟疝很常见。然而,在文献中只有少数病例报道了腹股沟顶间疝，其中突出的囊通过深腹股沟环离开腹膜腔，然后突出到前腹壁的解剖平面之一。仅有1例报告的腹股沟顶间疝病例通过腹腔镜治疗。我们报道了一个年轻的右腹股沟顶间疝的病例，有盲肠疝的健康成年人，回肠末端,和附录。他表现为右髂窝疼痛。在调查中，他被发现在腹股沟区有顶疝。诊断性腹腔镜检查显示盲肠通过腹股沟内环进入前腹壁。患者接受常规腹腔镜疝修补术治疗，术后第二天出院，无并发症。虽然对于顶骨疝的诊断可能比较困难,腹腔镜诊断和管理提供了精确的评估和较少的侵入性管理。
