Vulliamy Paul, Berner Alison May, Farooq Muhammad Suleman, Srilekha Attavar
Queen's Hospital, Romford, UK.
BMJ Case Rep. 2013 Jan 25;2013:bcr2012008179. doi: 10.1136/bcr-2012-008179.
A 74-year-old woman presenting with acute abdominal pain underwent surgery for suspected small bowel ischaemia. At laparotomy, a sacrocolpopexy mesh in the pelvis, which had been inserted 8 years previously, was found to be causing strangulation of a 2-m length of the small bowel. Following resection and primary anastomosis, the patient spent several days in intensive care before her eventual discharge. This unusual life-threatening complication should be considered in patients presenting with abdominal pain even many years following abdominal sacrocolpopexy.
一名74岁出现急性腹痛的女性因疑似小肠缺血接受了手术。在剖腹手术中，发现盆腔内一个8年前植入的骶骨阴道固定术网片导致一段2米长的小肠发生绞窄。经过切除和一期吻合术后，患者在重症监护室度过了几天，最终出院。即使在腹部骶骨阴道固定术后多年出现腹痛的患者中，也应考虑这种不寻常的危及生命的并发症。
