篇名 | Acute Appendicitis in an Incarcerated Amyand's Hernia |
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卷期 | 19:3 |
並列篇名 | 箝固性疝氣包含急性盲腸炎 |
作者 | 楊登凱 、 廖俊厚 、 孫政宏 、 蕭博仁 、 江漢聲 、 陳梓泓 |
頁次 | 173-175 |
關鍵字 | 箝固性疝氣 、 急性盲腸炎 、 Amyand's hernia 、 Acute appendicitis |
出刊日期 | 200809 |
The presence of acute appendicitis in an incarcerated Amyand's hernia is rare, and the diagnosis is always made on the operating table. The clinical picture is similar to that of a strangulated hernia. We report an 81-year-old male patient with acute appendicitis in an incarcerated Amyand's hernia with the initial presentation of a worsening, painful mass over his right inguinal area. An emergent appendectomy through a herniotomy and herniorrhaphy was performed. An incarcerated hernia with appendicitis may occur without signs of a strangulated bowel and is hard to distinguish from other irreducible non-bowel strangulated masses. Unfortunately, delayed diagnosis and management may result in moresevere postoperative complications. In our opinion, an emergent operation is a better choice.