Falk Gavin A, Yurcisin Basil J, Sell Harry S
Department of General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
BMJ Case Rep. 2010 Nov 23;2010:bcr0420102936. doi: 10.1136/bcr.04.2010.2936.
Paraduodenal hernias are congenital internal hernias that usually present with non-specific symptoms, and are therefore rarely diagnosed preoperatively. Left-sided paraduodenal hernias are three times more likely to occur than right-sided ones. Both hernias present similarly, but have a differing embryological basis. Here, the case of a 76-year-old woman with a left paraduodenal hernia presenting with small bowel obstruction is presented, and a brief discussion of the literature on its diagnosis and management given.
十二指肠旁疝是先天性腹内疝,通常表现为非特异性症状,因此术前很少被诊断出来。左侧十二指肠旁疝的发生率是右侧的三倍。两种疝的表现相似,但胚胎学基础不同。本文报道了一例76岁女性因左侧十二指肠旁疝出现小肠梗阻的病例,并对其诊断和治疗的文献进行简要讨论。