■含有盲肠等器官的疝,附录,乙状结肠,输尿管,与典型的腹股沟疝累及小肠相比,网膜和网膜较少见。患者通常表现为腹股沟阴囊肿胀。
方法:一名53岁男性,患有缺血性心脏病,糖尿病,高血压伴呕吐,24小时无排便。他患有长期的左腹股沟阴囊疝,最近接受了心导管检查。检查显示巨大的疝气和空的直肠。影像学检查证实为小肠梗阻。手术显示有多器官嵌顿疝,减少了,进行了疝修补术。术后,他出现了腹腔室综合征,需要开腹减压术。他的腹部在第13天闭合,第30天出院。
■Hernias,特别是当他们被监禁时,对患者构成重大风险。如果未经治疗,他们可以进展到绞窄性疝,导致肠缺血和潜在的致命结局。
结论:腹股沟疝主要通过临床检查诊断。这些疝气很少包含盲肠,附录,乙状结肠,输尿管,和网膜,这种情况通常与肠梗阻有关。
UNASSIGNED: Hernias containing organs like the cecum, appendix, sigmoid colon, ureter, and omentum are less common compared to typical inguinal hernias involving the small intestine. Patients typically present with inguinoscrotal swelling.
METHODS: A 53-year-old male with ischemic heart disease, diabetes, and hypertension presented with vomiting and no bowel movement for 24 h. He had a long-standing left inguinoscrotal hernia and recently underwent cardiac catheterization. Examination showed a massive hernia and an empty rectum. Imaging confirmed a small bowel obstruction. Surgery revealed an incarcerated hernia containing multiple organs, which were reduced, and hernioplasty was performed. Postoperatively, he developed abdominal compartment syndrome, necessitating decompressive laparotomy. His abdomen was closed on day 13, and he was discharged on day 30.
UNASSIGNED: Hernias, particularly when they become incarcerated, pose significant risks to patients. If untreated, they can progress to strangulated hernias, leading to bowel ischemia and potentially fatal outcomes.
CONCLUSIONS: Inguinal hernias are diagnosed primarily through clinical examination. It is rare for these hernias to contain the cecum, appendix, sigmoid colon, ureter, and omentum, and such cases are typically associated with intestinal obstruction.