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腹壁间隙疝是一种少见形式的疝,疝囊未随精索下降,在腹壁各层之间,术前诊断困难。许多外科医生即使在手术时也未能认识本病,以致有时造成严重后果。病人61岁,女,因右下1/4腹部疼痛和包块持续二天而入院。疼痛为持续性纯痛,伴呕吐数次。体温100～101°F 持续二天。在右下1/4腹部出现包块的同时发生疼痛,包块逐渐增大。曾因胆石症作过胆囊切除术,有修补脐疝史。体检患者肥胖,有中等度中毒表现。Bp:120/60mmHg。心、肺正常。腹部右侧有一25cm 长之旁正中切口疤痕。右下1/4腹部可触及一15×4cm 之质硬、有触痛的包块。两侧腹外
Abdominal wall hernia is a rare form of hernia, hernia sac did not decline with the spermatic cord, between the abdominal wall layers, preoperative diagnosis difficult. Many surgeons, even at the time of surgery, fail to recognize the disease and can sometimes have serious consequences. The patient was 61 years old and was admitted to hospital because of her right lower quadrant abdominal pain and mass for two days. Pain was persistent pure pain, with vomiting several times. Body temperature 100 ~ 101 ° F for two days. In the lower right 1/4 abdominal mass occurs at the same time pain, mass gradually increased. Have done because of cholelithiasis cholecystectomy, umbilical hernia repair history. Physical examination of obese, moderate poisoning performance. Bp: 120 / 60mmHg. Heart, lungs normal. The right side of the abdomen has a mid-incision next to a 25-cm incision. Lower right quarter of the abdomen can reach a 15 × 4cm of hard, tender mass. Both sides of the abdomen