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一名成人出现的经肠系膜先天性内疝。

A transmesenteric congenital internal hernia presenting in an adult.

作者信息

Edwards Hellen McK, Al-Tayar Haytham

机构信息

Department of Obstetrics and Gynecology, Herlev Hospital, Herlev, Denmark

Department of Surgery, Slagelse Hospital, Slagelse, Denmark.

出版信息

J Surg Case Rep. 2013 Dec 6;2013(12):rjt099. doi: 10.1093/jscr/rjt099.

DOI:10.1093/jscr/rjt099
PMID:24968431
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3887995/
Abstract

Congenital internal hernias (CIAHs) are a rare cause of small bowel obstruction in adults. We present a case of transmesenteric CIAH in a 32-year-old male. The clinical examination and computed tomography scan were interpreted as intestinal obstruction, and only an emergency laparotomy revealed that 1 m of small bowel herniated through a 2 cm defect in the mesentery of the transverse colon. Repair of the defect was performed using interrupted suturing, and the patient was discharged after 4 days without sequelae.

摘要

先天性内疝(CIAHs)是成人小肠梗阻的罕见原因。我们报告一例32岁男性的经肠系膜先天性内疝病例。临床检查和计算机断层扫描被诊断为肠梗阻,仅急诊剖腹手术才发现1米长的小肠通过横结肠系膜上一个2厘米的缺损处发生了疝出。采用间断缝合对缺损进行了修复,患者术后4天出院,无后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/3887995/e5a0d063370d/rjt09903.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/3887995/a6fd39ffcbf4/rjt09901.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/3887995/63b252a23971/rjt09902.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/3887995/e5a0d063370d/rjt09903.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/3887995/a6fd39ffcbf4/rjt09901.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/3887995/63b252a23971/rjt09902.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/3887995/e5a0d063370d/rjt09903.jpg

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Congenital and acquired mesocolic hernias presenting with small bowel obstruction in childhood and adolescence.儿童和青少年时期以小肠梗阻为表现的先天性和后天性肠系膜疝。
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Congenital transmesenteric defect causing bowel strangulation in an adult.成人先天性肠系膜贯通性缺陷致肠绞窄
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Internal Hernia Through a Congenital Defect in Broad Ligament: A Rare and Elusive Cause of Intestinal Obstruction.通过阔韧带先天性缺陷形成的内疝:肠梗阻的一种罕见且难以捉摸的病因。
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J Surg Case Rep. 2018 Nov 23;2018(11):rjy318. doi: 10.1093/jscr/rjy318. eCollection 2018 Nov.
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