Department of General Surgery, Cadi Ayyad University, Marrakesh, Morocco.
Hernia. 2012 Apr;16(2):229-31. doi: 10.1007/s10029-010-0730-8. Epub 2010 Sep 22.
Primitive internal hernias are a rare cause of intestinal obstruction. They are often paraduodenal even transmesocolic, but only rarely transomental. We present a rare case of an internal abdominal hernia in a young man. The small bowel was strangulated by an intra mesenteric appendicitis. This hernia was revealed by abdominal pain, nausea and vomiting. Plain X-ray of the abdomen showed dilated jejunal and ileal loops with multiple air-fluid levels. The diagnosis of appendicitis was suggested by ultrasound but the internal hernia was found only upon surgical exploration. An appendicectomy and adhesiolysis were performed. The patient recovered fully after 3 days, and had an uneventful postoperative course. The authors discuss the possible cause of this rare intestinal obstruction.
原发性内疝是肠梗阻的罕见病因。它们通常位于十二指肠旁，甚至是横结肠系膜内，但很少位于膈下。我们报告一例年轻男性的腹部内疝。小肠被肠系膜内阑尾炎嵌顿。该疝由腹痛、恶心和呕吐引起。腹部平片显示空肠和回肠多个肠曲扩张，伴有气液平面。超声提示阑尾炎，但仅在手术探查时发现内疝。行阑尾切除术和粘连松解术。患者术后 3 天完全康复，术后过程顺利。作者讨论了这种罕见肠梗阻的可能病因。
