Żyluk Andrzej, Majewski Włodzimierz
Pol Przegl Chir. 2015 Aug;87(8):413-6. doi: 10.1515/pjs-2015-0081.
Richter's hernia (partial enterocele) is the strangulation/entrapment of only part of the circumference of the intestinal wall. It is relatively rare, and presents without mechanical obstruction - giving vague, non-specific symptoms and signs, and a threat of intestinal necrosis, gangrene, followed by perforation. A report of a case of entrapment of the jejunum in the femoral ring, which did not cause the gangrene, but symptoms of mechanical obstruction, is presented. Further inspection of the small bowel in this case revealed an extra-luminal tumour, which appeared to be a GIST. The entrapped part of the jejunum has been released and the tumour has been resected.
里氏疝(部分肠膨出)是仅肠壁部分圆周发生绞窄/嵌顿。它相对罕见,表现为无机械性梗阻——症状和体征模糊、不具特异性,且有肠坏死、坏疽继而穿孔的风险。本文报告一例空肠在股环嵌顿的病例,该病例未导致坏疽,但出现了机械性梗阻症状。对该病例小肠的进一步检查发现一个腔外肿瘤,似乎是胃肠道间质瘤(GIST)。已将嵌顿的空肠部分松解并切除了肿瘤。