PDF(Pubmed)
Abstract：
The involvement of kidney, perirenal fat, and ureter is a rare variant of inguinal hernia. We report a case of a 78-year-old man presenting with typical clinical signs of acute appendicitis. Ultrasonography and CT scan revealed ptosis of the right kidney with a major part of the perirenal capsule involved in a large right sided inguinal hernia with acute obstruction of the ureter and urostasis. Acute surgery was performed, involving resection of perirenal fat, liberation, resection, and neoimplantation of the ureter, and hernioplasty. The postoperative period was uneventful. This case illustrates diagnostic unpredictability of acute appendicitis as well as anatomic variety of inguinal hernias.
摘要：
肾脏受累，肾周脂肪,输尿管是腹股沟疝的一种罕见变种。我们报告了一例78岁的男性，表现出急性阑尾炎的典型临床体征。超声检查和CT扫描显示右肾上下垂，大部分肾周被膜累及右侧腹股沟疝，输尿管急性梗阻和尿路淤滞。进行了急性手术，包括切除肾周脂肪，解放,切除,输尿管的新植入，还有疝修补术.术后时间顺利。此病例说明了急性阑尾炎的诊断不可预测性以及腹股沟疝的解剖多样性。
