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Subtotal Appendectomy to Treat Gangrenous Appendicitis Incarcerated in an Obturator Hernia.
- Source :
-
The American surgeon [Am Surg] 2023 May; Vol. 89 (5), pp. 2064-2066. Date of Electronic Publication: 2021 May 31. - Publication Year :
- 2023
-
Abstract
- Obturator hernias are quite rare in the world of hernias, and one that contains an acutely inflamed appendix becomes a very rare case indeed. An obturator hernia containing the appendix has been reported only 5 times in the surgical literature. Three of those cases were in elderly women with delayed presentations and were fatal. The most recent case was in a young woman with prompt laparoscopic appendectomy and no complications. We present a case in a 25-year-old man presenting with acute appendicitis and found to be incarcerated within the obturator canal during laparoscopy. The patient was treated with a 4-day course of postoperative antibiotics and a surgical drain that was later removed who had a full recovery. We conclude that the appropriate workup includes CT imaging and treatment with laparoscopic surgery for removal of the appendix.
- Subjects :
- Male
Humans
Female
Aged
Adult
Appendectomy methods
Herniorrhaphy methods
Appendicitis complications
Appendicitis diagnostic imaging
Appendicitis surgery
Hernia, Obturator complications
Hernia, Obturator diagnostic imaging
Hernia, Obturator surgery
Appendix diagnostic imaging
Appendix surgery
Laparoscopy methods
Enterocolitis, Necrotizing
Subjects
Details
- Language :
- English
- ISSN :
- 1555-9823
- Volume :
- 89
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The American surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 34058864
- Full Text :
- https://doi.org/10.1177/00031348211023421