Wayne State University Medical School, Detroit, MI, USA.
Am J Surg. 2012 Nov;204(5):e45-7. doi: 10.1016/j.amjsurg.2009.10.030. Epub 2011 Feb 26.
A 24-year-old woman with no significant past medical or surgical history presented with diffuse abdominal pain and distention with decreased frequency of bowel movements for 1 month. A computerized tomography scan showed a massively dilated cecum suggesting obstruction. Exploratory laparotomy revealed bowel obstruction secondary to a band of fibroadipose tissue associated with paratubal cysts originating from the left fallopian tube. Removal of the band was performed with thorough examination of the bowel confirming absence of perforation or necrosis.
一位 24 岁的女性,既往无重要的内科或外科病史,因腹痛和腹胀伴排便频率减少 1 个月就诊。计算机断层扫描显示盲肠显著扩张,提示梗阻。剖腹探查显示肠粘连导致肠梗阻,其原因是与左侧输卵管起源的附件囊肿相关的纤维脂肪组织带。切除了该组织带,并仔细检查了肠道,未发现穿孔或坏死。