Downes Ross, Cawich Shamir O
Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Mona, Kingston 7, Jamaica.
Int J Surg Case Rep. 2010;1(2):19-21. doi: 10.1016/j.ijscr.2010.06.003. Epub 2010 Oct 8.
Paraduodenal hernias are rare hernias that result from error of rotation of the mid-gut. It can be discovered incidentally at laparotomy, seen on radiological imagining or infrequently cause intestinal obstruction. We report a case of a left paraduodenal hernia diagnosed intraoperatively after being operated on in the emergency setting for generalized peritonitis. He required resection of multiple loops of small bowel with primary anastomosis. The mouth of the sac was obliterated by suture apposition to the posterior wall. The patient was discharged on day 4 after an uneventful recovery.
十二指肠旁疝是一种罕见的疝,由中肠旋转异常引起。它可在剖腹手术中偶然发现,在影像学检查中看到,或很少引起肠梗阻。我们报告一例左十二指肠旁疝病例,该患者在因弥漫性腹膜炎进行急诊手术后术中被诊断出来。他需要切除多个小肠肠袢并进行一期吻合。疝囊口通过与后壁缝合对合而闭塞。患者在顺利康复后的第4天出院。