诊断性腹腔镜检查及腹腔镜下左十二指肠旁疝修补术可缩短住院时间。

Moon Christopher H, Chung Mathew H, Lin Kevin M

Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.

JSLS. 2006 Jan-Mar;10(1):90-3.

Paraduodenal hernias are the most common forms of intraabdominal hernias, accounting for 53% of all internal hernias. However, these account for only 0.2% to 0.9% of all small intestinal obstructions overall. Patients usually report vague abdominal pains and discomfort lasting for many years. Furthermore, in-patient diagnosis and management can last up to several weeks due to its rarity and unusual presentation. We report a case of a left paraduodenal hernia in an 18-year-old male who presented with abrupt onset of abdominal pain, nausea, and vomiting. He was subsequently managed by diagnostic laparoscopy and laparoscopic repair, which decreased the overall in-patient care to 2 days.

十二指肠旁疝是腹内疝最常见的类型，占所有内疝的53%。然而，在所有小肠梗阻病例中，十二指肠旁疝仅占0.2%至0.9%。患者通常诉说有持续多年的模糊腹痛和不适。此外，由于其罕见性和不寻常的表现，住院诊断和治疗可能长达数周。我们报告一例18岁男性左十二指肠旁疝病例，该患者突然出现腹痛、恶心和呕吐。随后通过诊断性腹腔镜检查和腹腔镜修补术进行治疗，将整体住院时间缩短至2天。