Milosevic Igor, Dorion Heath, Ricchiuti Daniel
Department of Surgery, St. Elizabeth Health Center. Youngstown, Ohio, USA.
JSLS. 2011 Jul-Sep;15(3):424-6. doi: 10.4293/108680811X13125733357115.
Small bowel obstruction (SBO) is a common entity encountered in surgical patients. The most common causes of the SBO range from postoperative adhesions to cancer. We present the case of a 55-year-old male who underwent a laparoscopic left radical nephrectomy and presented with an early SBO. An imaging study revealed an obstructive pattern with proximal dilated jejunum with decompressed distal small bowel. The patient underwent an exploratory laparotomy with extensive lysis of adhesions and release/resection of a long segment of incarcerated jejunum from an 8-cm retroperitoneal hernia in the left renal fossa. The patient was discharged home, and at 3-month follow-up no bowel complaints were reported.
小肠梗阻（SBO）是外科患者中常见的病症。SBO最常见的病因包括术后粘连至癌症。我们报告一例55岁男性患者，其接受了腹腔镜下左肾根治性切除术，并出现早期SBO。影像学检查显示梗阻模式，近端空肠扩张，远端小肠减压。患者接受了剖腹探查术，广泛松解粘连，并从左肾窝一个8厘米的腹膜后疝中松解/切除了一段长的嵌顿空肠。患者出院回家，3个月随访时未报告肠道不适。
