腹腔镜手术诊断和治疗肠梗阻：盲肠旁疝病例报告
Laparoscopic surgery for diagnosis and treatment of bowel obstruction: case report of paracecal hernia.
作者信息
Hirokawa Takahisa, Hayakawa Tetsushi, Tanaka Moritsugu, Okada Yuji, Sawai Hirozumi, Takeyama Hiromitsu, Manabe Tadao
机构信息
Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
出版信息
Med Sci Monit. 2007 Jul;13(7):CS79-82.
BACKGROUND
Small bowel obstruction cased by paracecal hernia is rare, and the condition is difficult to diagnose preoperatively. We herein report a case of paracecal hernia that was successfully diagnosed and treated with laparoscopic surgery.
CASE REPORT
A 74-year-old man admitted our hospital. His previous medical history included appendectomy and diabetes. He had abdominal distension with slight tenderness. Abdominal image examinations gave the appearance of a small bowel obstruction. An emergency operation was performed due to the fear of strangulation. We diagnosed the paracecal hernia with laparoscopy and treated it with a mini-laparotomy. After the operation he was discharged without complications. Using the laparoscopic technique we were able to undergo a minimally invasive treatment, and the patient continues to do well.
CONCLUSIONS
This case suggests that the laparoscopic technique is useful for diagnosing and treatment of bowel obstructions.
背景
盲肠旁疝导致的小肠梗阻较为罕见，术前难以诊断。我们在此报告一例经腹腔镜手术成功诊断并治疗的盲肠旁疝病例。
病例报告
一名74岁男性入住我院。他既往有阑尾切除术史和糖尿病史。他有腹胀伴轻微压痛。腹部影像检查显示小肠梗阻。因担心绞窄而进行了急诊手术。我们通过腹腔镜诊断为盲肠旁疝，并采用迷你剖腹术进行治疗。术后他顺利出院，无并发症。使用腹腔镜技术我们能够进行微创治疗，患者目前情况良好。
结论
该病例表明腹腔镜技术对肠梗阻的诊断和治疗有用。
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