在做疝氣手術時的不常見發現: 2個罕見案例
王致丞1,2
1奇美醫學中心 外科部 泌尿科；2南臺科技大學 通識中心
Unusual findings during inguinal hernia surgery: 2 rare cases
Jhih-Cheng Wang1,2,
Divisions of Urology1, Department of Surgery, Chi Mei Medical center, Tainan, Taiwan;
Center for general Education2, Southern Taiwan University of Science and Technology, Tainan, Taiwan
Purpose: To present our experience with unexpected findings during open or laparoscopic hernia surgeries, either unusual hernia contents or pathologic entities.
Materials and Methods: We study retrospectively over 400 patients with inguinal hernia who were admitted for open or laparoscopic hernioplasty over 8 years. In addition, our study included patients complaining of inguinal protrusion, even without a definitive diagnosis of inguinal hernia upon admission.
Results: Two patients presented with unusual hernia contents. One had a vermiform appendix in the sac during total extraperitoneal laparoscopic hernioplasty (Amyand’s hernia, type 1) (Figure 1). One diagnosed as pancreas adenocarcinoma with peritoneal carcinomatosis via pathology report of sliding hernia sac after open hernioplasty (Figure 2).
Conclusions: A hernia surgeon may encounter unexpected intraperitoneal findings. It is important to be prepared to detect then and apply the appropriate treatment.