A CASE OF INCARCERATED APPENDIX IN AN INGUINAL HERNIA PRESENTED WITH ABDOMINAL WALL ABSCESS
| Autor: | Yasuo Takahashi, Shinichi Mizuno, Eiichi Asano, Hideki Shimoji, Norimasa Koide |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment General surgery bacterial infections and mycoses medicine.disease Hernia repair digestive system diseases Appendix Surgery Abdominal wall Inguinal hernia surgical procedures operative medicine.anatomical_structure Laparotomy medicine Hernia Incarcerated Inguinal Hernia Abscess business |
| Zdroj: | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 60:2494-2497 |
| ISSN: | 1882-5133 1345-2843 |
| DOI: | 10.3919/jjsa.60.2494 |
| Popis: | Incarcerated appendix in an inguinal hernia is an uncommon condition. We experienced a rare case of an abscess of the abdominal wall which was caused by an incarcerated appendix in an inguinal hernia. A 71-year-old woman was admitted to the hospital because of a right inguinal swelling and purulent discharge. She also had von Recklinghausen's disease. Abdominal CT revealed a high density area with the air in the abdominal wall extending to the peritoneal cavity. We performed an emergency operation on a suspicion of the right incarcerated inguinal hernia with abdominal wall abscess. A drainage for the abscess was per-formed but no cause of the abscess formation could be identified. An incarcerated appendix in the right inguinal fossa was found out by a laparotomy. Appendectomy, hernia repair and peritoneal drainage were carried out. After the operation, a recurrent abscess was drainaged. She was discharged on the fifth postoperative month. It was difficult to preoperatively diagnose this rare case. In the treatment of incarcerated inguinal hernia without ileus symptoms, we must entertain a possibility that the content of hernia may be the appendix. |
| Databáze: | OpenAIRE |
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