van Hout D H A, Manders K C, Reijnen J A, van der Avoort J H J M
Afd. Chirurgie, Elkerliek Ziekenhuis, Helmond.
Ned Tijdschr Geneeskd. 2006 Jul 29;150(30):1680-4.
A 47-year-old woman had experienced paroxysmal pain in the lower abdomen, nausea and vomiting for the last 12 hours. Laparoscopy revealed a 60-cm hernia of ileum through the ligamentum latum, which had led to ileal necrosis. After resection of a portion of the small intestine, the patient recovered. Defects in the ligamentum latum can arise from congenital or acquired causes. The most common congenital cause is the rupture of a cystic structure in the ligamentum latum. Acquired causes include surgical intervention, pelvic inflammatory disease and traumatic injury sustained during gravidity or parturition. These causes all lead to local weakening of or direct damage to the ligamentum latum.
一名47岁女性在过去12小时内出现下腹部阵发性疼痛、恶心和呕吐。腹腔镜检查发现一段60厘米长的回肠通过阔韧带疝出，导致回肠坏死。切除部分小肠后，患者康复。阔韧带缺损可由先天性或后天性原因引起。最常见的先天性原因是阔韧带内囊性结构破裂。后天性原因包括手术干预、盆腔炎以及妊娠或分娩期间遭受的创伤性损伤。这些原因均导致阔韧带局部薄弱或直接损伤。
