{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T09:33:23Z","timestamp":1648892003555},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2020,12,12]],"date-time":"2020-12-12T00:00:00Z","timestamp":1607731200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2020,12,12]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold>\n Esetismertet\u00e9sek:<\/jats:italic> 66 \u00e9ves n\u0151 vizsg\u00e1latai irreponibilis\n f\u00e1jdalmas inguinalis terime miatt kezd\u0151dtek. Ultrahangvizsg\u00e1lat sor\u00e1n a panaszok\n h\u00e1tter\u00e9ben femoralis s\u00e9rvben kiz\u00e1rt gangraen\u00e1s appendix vermiformis igazol\u00f3dott.\n Inguinalis metsz\u00e9sb\u0151l appendectomi\u00e1t \u00e9s hernioplastic\u00e1t v\u00e9gezt\u00fcnk. Posztoperat\u00edv\n sz\u00f6v\u0151dm\u00e9nye nem volt, sz\u00f6vettana appendicitist igazolt. P\u00e1r h\u00e9ttel k\u00e9s\u0151bb egy 76\n \u00e9ves, t\u00f6bb t\u00e1rsbetegs\u00e9ggel rendelkez\u0151 f\u00e9rfi f\u00e1jdalmas, serceg\u0151 gangraen\u00e1s, jobb\n inguinalis terime miatt ker\u00fclt \u00e1tv\u00e9telre. CT-vizsg\u00e1lat femoralis s\u00e9rvbe kiz\u00e1rt\n absced\u00e1l\u00f3 appendix vermiformist \u00e1br\u00e1zolt. Inguinalis metsz\u00e9sb\u0151l, illetve als\u00f3\n median laparotomi\u00e1b\u00f3l a f\u00e9regny\u00falv\u00e1nyt a has\u00fcregbe repon\u00e1ltuk, majd\n appendectomia \u00e9s inguinalis necrectomia t\u00f6rt\u00e9nt. Posztoperat\u00edv adh\u00e9zi\u00f3s ileus \u00e9s\n hasfali disruptio miatt egy alkalommal reoper\u00e1ltuk, adhaesiolysist \u00e9s hasfali\n resutur\u00e1t v\u00e9gezt\u00fcnk. Ezt k\u00f6vet\u0151en l\u00e1gy\u00e9ki seb\u00e9n negat\u00edv nyom\u00e1sos sebkezel\u00e9st\n alkalmaztunk, a beteget a 22. napon otthon\u00e1ba bocs\u00e1jtottuk. Az appendix\n sz\u00f6vettana low grade mucinosus neoplasi\u00e1t igazolt. Megbesz\u00e9l\u00e9s:<\/jats:italic>\n A femoralis s\u00e9rvbe szorult appendix vermiformis de Garengeot-s\u00e9rvk\u00e9nt ismeretes,\n extr\u00e9m ritka incidenci\u00e1j\u00fa s\u00e9rvt\u00edpus, enn\u00e9l is ritk\u00e1bb az appendix mucinosus\n neopl\u00e1si\u00e1j\u00e1val sz\u00f6v\u0151d\u0151 vari\u00e1nsa. E s\u00e9rv klinikai megjelen\u00e9se sz\u00e9les spektrumon\n mozoghat, pontos preoperat\u00edv diagn\u00f3zisa CT-vizsg\u00e1lat n\u00e9lk\u00fcl kifejezetten neh\u00e9z.\n A m\u0171t\u00e9ti megold\u00e1sra t\u00f6bbf\u00e9le lehet\u0151s\u00e9g v\u00e1laszthat\u00f3, mely nagyban f\u00fcgg az\n esetleges komplik\u00e1ci\u00f3kt\u00f3l, a rendelkez\u00e9sre \u00e1ll\u00f3 eszk\u00f6z\u00f6kt\u0151l, az intraoperat\u00edv\n lelett\u0151l, valamint az oper\u00e1l\u00f3 seb\u00e9sz j\u00e1rtass\u00e1g\u00e1t\u00f3l.<\/jats:p>\n Summary.<\/jats:bold>\n Case reports:<\/jats:italic> a 66-year-old woman was admitted to our\n Department due to a painful inguinal lump. During examinations an incarcerated\n femoral hernia was found with an inflamed vermiform appendix inside the hernial\n sac. Appendectomy and femoral hernioplasty was performed from inguinal approach.\n The patient was discharged home without complications. Pathological examinations\n of the specimen showed signs of acute appendicitis. A few weeks later a\n 76-year-old man with severe comorbidities was admitted to our unit due to\n painful gangraenous inguinal skin lesion. CT scan showed an incarcerated femoral\n hernia containing the appendix with subcutaneous abscess. Appendectomy,\n hernioplasty, and inguinal necrosectomy was performed from an inguinal and low\n median approach. Another operation was necessary due to postoperative\n obstruction and subcutaneous dehiscence. After intraabdominal adhaesiolysis and\n abdominal wall reconstruction negative pressure wound therapy was applied to the\n inguinal wound, the patient was discharged 22 days after the primary operation.\n Pathological examinations of the appendix showed low grade mucinous neoplasm.\n Discussion:<\/jats:italic> The femoral hernia containing the appendix is\n called de Garengeot\u2019s hernia and is one of the rarest types of inguinofemoral\n hernias. The clinicopathology of this type of hernia can cover a wide range of\n symptoms. The definitive preoperative diagnosis is relatively difficult to find\n without a CT-scan. The surgical approach and treatment depends on the\n manifestation, clinical findings and on the available equipment and the\n expertise of the surgeon.<\/jats:p>","DOI":"10.1556\/1046.73.2020.4.6","type":"journal-article","created":{"date-parts":[[2020,12,26]],"date-time":"2020-12-26T03:11:47Z","timestamp":1608952307000},"page":"167-171","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Egy ritka s\u00e9rvt\u00edpus k\u00e9tszeri megjelen\u00e9se klinik\u00e1nkon"],"prefix":"10.1556","volume":"73","author":[{"given":"Krist\u00f3f","family":"Ill\u00e9s","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, I. sz. Seb\u00e9szeti Klinika, 1082 Budapest \u00dcll\u0151i u. 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judit","family":"Tam\u00e1s","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, I. sz. Seb\u00e9szeti Klinika, 1082 Budapest \u00dcll\u0151i u. 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damj\u00e1n","family":"Pekli","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, I. sz. Seb\u00e9szeti Klinika, 1082 Budapest \u00dcll\u0151i u. 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rezs\u0151","family":"Szl\u00e1vik","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, I. sz. Seb\u00e9szeti Klinika, 1082 Budapest \u00dcll\u0151i u. 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1lint","family":"Kokas","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, I. sz. Seb\u00e9szeti Klinika, 1082 Budapest \u00dcll\u0151i u. 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Szij\u00e1rt\u00f3","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, I. sz. Seb\u00e9szeti Klinika, 1082 Budapest \u00dcll\u0151i u. 78."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Magyar Seb\u00e9szet (Hungarian Journal of Surgery)"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/73\/4\/article-p167.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/73\/4\/article-p167.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,7]],"date-time":"2021-08-07T05:06:40Z","timestamp":1628312800000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/73\/4\/article-p167.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,12]]},"references-count":0,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1556\/1046.73.2020.4.6","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,12]]}}}