闭孔嵌顿疝——腹腔镜修补术及术中所见的死亡冠
Incarcerated obturator hernia-laparoscopic repair with intraoperative view of the corona mortis.
作者信息
Ramser Michaela, Messmer Anna Sarah, Zbinden Isabella, Von Holzen Urs, Nebiker Christian Andreas
机构信息
Department of General Surgery, University Hospital Basel, Basel, Switzerland
Department of Emergency Medicine, University Hospital Basel, Basel, Switzerland.
出版信息
J Surg Case Rep. 2014 Aug 25;2014(8):rju081. doi: 10.1093/jscr/rju081.
Obturator hernias are a rare form of abdominal wall hernias. We present a case of a patient with an obturator hernia diagnosed by the classical signs of lower abdominal pain, a positive Howship-Romberg sign (painful internal rotation of the hip) and a computed tomography scan showing a herniated loop of small bowel. During the emergency laparoscopic hernia repair (transabdominal preperitoneal approach) a variant vessel, the corona mortis, was detected.
闭孔疝是一种罕见的腹壁疝。我们报告一例闭孔疝患者，通过下腹部疼痛的典型体征、阳性豪希普-罗姆伯格征（髋关节疼痛性内旋）以及计算机断层扫描显示小肠疝出环而确诊。在急诊腹腔镜疝修补术（经腹腹膜前入路）过程中，发现了一条变异血管，即死亡冠。
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