Fukami Tatsuya, Tsujioka Hiroshi, Goto Maki, Matsuoka Ryoei, Nakamura Sumie, Miyagawa Miyoko, Mori Hiroshi, Eguchi Fuyuki
Department of Obstetrics & Gynecology, ASO Iizuka Hospital, 3-83 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan.
Ann Med Surg (Lond). 2014 Oct 8;3(4):134-6. doi: 10.1016/j.amsu.2014.07.004. eCollection 2014 Dec.
Omental hernias are rare and difficult to diagnose preoperatively due to a lack of specific symptoms.
We report a case of adhesional omental hernia diagnosed at laparoscopy. A 38 year-old female patient with evidence of a previous caesarean section presented with an acute abdomen. We found there were omental bands stuck onto the anterior wall of the uterus, and a loop of small bowel passing through the subsequent omental defect was dilated proximally without oedema. We performed laparoscopic exploration. We saw that there were omental bands stuck onto the anterior wall of the uterus, this was partially narrowing a segment of ileum. We also saw that the proximal bowel loop occupying the omental defect was dilated without oedema.
This is an uncommon cause of an acute abdomen, but should be kept in mind as a differential diagnosis, especially in patients with a surgical history.
网膜疝较为罕见，由于缺乏特异性症状，术前很难诊断。
我们报告一例经腹腔镜诊断的粘连性网膜疝病例。一名有剖宫产史的38岁女性患者出现急腹症。我们发现子宫前壁有网膜带粘连，一段小肠经随后形成的网膜缺损处通过，近端扩张但无水肿。我们进行了腹腔镜探查。我们看到子宫前壁有网膜带粘连，部分压迫一段回肠。我们还看到占据网膜缺损处的近端肠袢扩张但无水肿。
这是急腹症的一种罕见病因，但应作为鉴别诊断予以考虑，尤其是有手术史的患者。
