Cagaš J, Vlček P, Jeřábek J
Chirurgická klinika, FN U sv. Anny v Brně.
Rozhl Chir. 2012 Oct;91(10):558-60.
Intestinal obstruction caused by an internal hernia is considered to be a rare cause of ileus. The rarest of these is herniation through the falciform ligament. In our article we present the case of a 45-year old female patient operated on for small bowel herniation through a defect in the falciform ligament. The loops were laparoscopically repositioned into the free abdominal cavity and the defect was removed by electrocautery. After the operation the patient was stabilised and discharged into outpatient care. Our article also analyses relevant literature and the diagnostic methods because the abovementioned diagnosis is rare and often established as late as postoperatively. Key words: internal hernia - the falciform ligament - iatrogenous defect in the falciform ligament.
内疝引起的肠梗阻被认为是肠梗阻的罕见原因。其中最罕见的是通过镰状韧带的疝出。在我们的文章中,我们介绍了一名45岁女性患者的病例,该患者因小肠通过镰状韧带的缺损疝出而接受手术。通过腹腔镜将肠袢重新放置到游离腹腔中,并用高频电刀切除缺损处。术后患者病情稳定,出院接受门诊治疗。我们的文章还分析了相关文献和诊断方法,因为上述诊断很罕见,而且往往在术后才得以确诊。关键词:内疝 - 镰状韧带 - 镰状韧带医源性缺损