Ranasinghe W Kb, Smith M
Alfred Health, Melbourne, Australia.
Ann R Coll Surg Engl. 2013 Oct;95(7):122-4. doi: 10.1308/003588413X13629960047795.
We report the case of a 68-year-old woman who presented with symptoms and signs of gastric outlet obstruction with a history of a ventral hernia. Clinical examination revealed a large ventral hernia with visible peristalsis of the herniated viscera. Initial serum biochemistry revealed a markedly elevated lipase level and deranged renal function. Computed tomography demonstrated an infraumbilical hernia with herniation of the stomach through the ventral defect and distortion of the pancreatic anatomy. The hernia was reduced operatively and repaired, leading to an uneventful recovery.
我们报告了一例68岁女性患者，她有胃出口梗阻的症状和体征，并有腹疝病史。临床检查发现一个大的腹疝，可见疝出脏器的蠕动。初始血清生化检查显示脂肪酶水平显著升高，肾功能紊乱。计算机断层扫描显示脐下疝，胃通过腹侧缺损疝出，胰腺解剖结构扭曲。通过手术还纳并修复了疝，患者恢复顺利。
