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[斯皮格尔疝——急腹症的罕见病因]

[Spieghel hernia--a rare cause of acute abdomen].

作者信息

Prokop A, Gawenda M, Walter M

机构信息

Chirurgische Universitätsklinik und Poliklinik, Köln, BRD.

出版信息

Langenbecks Arch Chir. 1992;377(2):104-6. doi: 10.1007/BF00184344.

DOI:10.1007/BF00184344
PMID:1583979
Abstract

Spieghelian hernia is a rare rupture of the abdominal wall along the linea semilunaris. Due to the fact that the rupture is overlain by the aponeurosis of M. externus abdominis, it is often not recognized in its early stage. In most cases the rupture neck is mostly very narrow and in 24.1% of all cases an incarceration of intestinal parts has ensued which may even lead to the development of an acute abdomen. The first choice therapy will consist in an operative support including the reposition of the hernial content and a possible resection of ischaemic organs as well as removal and sealing of the hernia. Because of the rarity of this sickness we report on a patient in our clinic who was operated as an emergency.

摘要

半月线疝是一种沿半月线的罕见腹壁破裂。由于破裂处被腹外斜肌腱膜覆盖,其早期常未被识别。在大多数情况下,破裂颈部大多非常狭窄,在所有病例中有24.1%发生了肠管嵌顿,甚至可能导致急腹症的发生。首选治疗方法是手术支持,包括回纳疝内容物、可能切除缺血器官以及切除并封闭疝。由于这种疾病罕见,我们报告了我们诊所一位接受急诊手术的患者。

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1
[Spieghel hernia--a rare cause of acute abdomen].[斯皮格尔疝——急腹症的罕见病因]
Langenbecks Arch Chir. 1992;377(2):104-6. doi: 10.1007/BF00184344.
2
[A rare cause of acute small bowel obstruction: incarcerated Spieghelian hernia. Case-report and literature review].[急性小肠梗阻的罕见病因:嵌顿性半月线疝。病例报告及文献综述]
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3
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Z Kinderchir. 1989 Jun;44(3):164-5. doi: 10.1055/s-2008-1043226.
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[Incarcerated Spigelian hernia].[闭孔疝]
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[Intestinal obstruction in extensive postoperative ventral hernia].
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Acute abdomen in a 79-year-old.一名79岁老人的急腹症
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[Operations in concomitant diseases of the abdominal organs].[腹部器官伴随疾病的手术]
Vestn Khir Im I I Grek. 1976 Aug;117(8):34-8.
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[Laparoscopic management of a Spigelian hernia].[白线疝的腹腔镜治疗]
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Spigelian hernia in a child: case report and review of the literature.小儿半月线疝:病例报告及文献复习
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[The so-called Spigelian hernia--a rare lateral hernia of the abdominal wall].[所谓的半月线疝——一种罕见的腹壁外侧疝]
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引用本文的文献

1
[Symptomatic abdominal wall tumor : Nausea, vomiting and abdominal cramp due to a lipomatous lesion of the left abdominal wall].
Chirurg. 2019 Feb;90(2):146-148. doi: 10.1007/s00104-018-0788-x.
2
[Combined endoscopic treatment of Spigelian hernia : laparoscopy - total extraperitoneal patch plasty - laparoscopy].[联合内镜治疗白线疝:腹腔镜 - 完全腹膜外补片修补术 - 腹腔镜]
Chirurg. 2011 Oct;82(10):932, 934-5. doi: 10.1007/s00104-011-2133-5.

本文引用的文献

1
SPIGELIAN HERNIA: SPONTANEOUS LATERAL VENTRAL HERNIA THROUGH THE SEMILUNAR LINE.
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2
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Spigelian hernia.半月线疝
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Spigelian hernia.
半月线疝
Surg Clin North Am. 1984 Apr;64(2):351-66. doi: 10.1016/s0039-6109(16)43290-1.
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[Sonographic and roentgenologic imaging of a Spieghel hernia].[半月线疝的超声与放射影像学表现]
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Spigelian hernia.半月线疝
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Ultrasound as a diagnostic aid in ventral abdominal hernia.
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[Spieghel's hernia and its treatment].[斯皮格尔氏疝及其治疗]
Fortschr Med. 1978 Apr 27;96(16):376-9.
9
Lateral ventral (spigelian) hernias in infants and children.
Surgery. 1978 Mar;83(3):288-90.