背景:腹股沟嵌顿疝是手术中最常见的急症之一。诊断通常是通过体检,但是疝囊的内容物可能会有所不同。
方法:我们介绍了一例罕见的乙状结肠憩室发炎的病例,该病例是在一名77岁男性的右腹股沟疝囊内发现的。发炎的憩室被切除,疝是用合成网片修复的.术后无并发症发生。以前没有研究报道过类似的方法。
结论:在对嵌顿性腹股沟疝进行急性修补术时,在疝囊中发现无并发症的乙状结肠憩室是最不寻常的。憩室切除和随后用合成网片修复疝是一种有吸引力的选择。
结论:急腹症患者应始终考虑急性憩室炎,这包括有疝气疼痛的患者.急诊手术不应该拖延,如果没有明显的穿孔,局部切除发炎的憩室可能是一种选择,周围的结肠不受影响。
BACKGROUND: Incarcerated inguinal hernia is one of the most common emergencies in surgery. The diagnosis is usually made by physical examination, but the contents of the hernia sac may vary.
METHODS: We present a rare
case of inflamed diverticulum of the sigmoid colon found within an incarcerated right inguinal hernia sac in a 77-year-old man. The inflamed diverticulum was resected, and the hernia was repaired with synthetic mesh. No postoperative complication occurred. No previous study has reported a similar approach.
CONCLUSIONS: It is most unusual for an uncomplicated inflamed sigmoid colon diverticulum to be found in the hernia sac when performing acute repair of an incarcerated inguinal hernia. Resection of the diverticulum and subsequent repair of the hernia with synthetic mesh is an attractive alternative.
CONCLUSIONS: Acute diverticulitis should always be considered in patients with an acute abdomen, this includes those with a painful hernia. Emergency surgery should not be delayed, and local resection of the inflamed diverticulum may be an option if no perforation is apparent, and the surrounding colon is unaffected.