Department of Upper GI Surgery, Weston General Hospital, Weston-super-Mare, UK.
Hernia. 2012 Oct;16(5):601-3. doi: 10.1007/s10029-011-0788-y. Epub 2011 Feb 3.
Pouch of Douglas hernias are uncommon forms of pelvic hernia. They are most commonly seen in multiparous, elderly women and those having undergone previous pelvic surgery (Stamatiou et al. in Am Surg 76(5):474-479, 2010). Herein, we present a case of a 77-year-old female presenting with groin pain due to a Pouch of Douglas hernia. She had no previous abdominal or pelvic surgery. This was repaired via a trans-abdominal pre-peritoneal approach and the patient's symptoms resolved. To our knowledge, this is the first case report in the literature of an idiopathic Pouch of Douglas hernia managed laparoscopically.
Douglas 陷凹疝是一种罕见的骨盆疝。它们最常见于多产妇、老年妇女和那些曾接受过盆腔手术的妇女（Stamatiou 等人，Am Surg 76(5):474-479, 2010）。在此，我们报告了一例 77 岁女性因 Douglas 陷凹疝引起腹股沟疼痛的病例。她没有腹部或盆腔手术史。通过经腹腹膜前入路进行了修补，患者的症状得到了缓解。据我们所知，这是文献中首例腹腔镜治疗特发性 Douglas 陷凹疝的病例报告。
