伴有胃窦和十二指肠球部嵌顿的食管旁疝：病例报告

Paraesophageal hernia with incarceration of the gastric antrum and duodenal bulb: a case report.

作者信息

Takeuchi Nobuhiro, Nomura Yusuke

机构信息

Department of Gastroenterology, Kawasaki Hospital, 3-3-1, Higashiyama-cho, Kobe, Hyogo 652-0042, Japan.

出版信息

BMC Res Notes. 2013 Nov 11;6:451. doi: 10.1186/1756-0500-6-451.

DOI:10.1186/1756-0500-6-451

PMID:24207166

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3835393/

Abstract

BACKGROUND

In cases of esophageal hernia, incarceration of peritoneal organs other than the stomach is rare.

CASE PRESENTATION

An 84-year-old female was admitted to our institution with a complaint of nausea and vomiting. Abdominal computed tomography revealed an esophageal hiatal hernia with incarceration of the gastric antrum and duodenal bulb. Gastrofluorography under gastroendoscopy confirmed prolapse of the antrum and duodenal bulb into the esophageal hernial sac. Although gastroendoscopy guided repositioning of the prolapsed organs was successful, reprolapse occurred immediately. Therefore, surgical treatment was indicated. The gastric antrum and duodenal bulb were associated with a paraesophageal hernia. Therefore, they were repositioned, and passage from the duodenal bulb to the descending portion of the duodenum was improved.

CONCLUSION

We report a rare case of paraesophageal hernia with incarceration of the gastric antrum and duodenal bulb.

摘要

背景

在食管裂孔疝病例中，胃以外的腹膜器官嵌顿很少见。

病例报告

一名84岁女性因恶心和呕吐症状入住我院。腹部计算机断层扫描显示食管裂孔疝伴胃窦和十二指肠球部嵌顿。胃镜下胃肠钡餐造影证实胃窦和十二指肠球部脱垂至食管裂孔疝囊内。尽管胃镜引导下对脱垂器官进行复位成功，但立即再次发生脱垂。因此，需要进行手术治疗。胃窦和十二指肠球部与食管旁疝有关。因此，对它们进行了复位，并改善了从十二指肠球部到十二指肠降部的通道。