Kulkarni Gaurav V, Salgaonkar Hrishikesh P, Sharma Pradeep Chandra, Chakkarvarty Nippun R, Katara Avinash N, Bhandarkar Deepraj S
Department of General Surgery, Hinduja Hospital, Mumbai, India.
Department of Minimal Access Surgery, Hinduja Hospital, Mumbai, India.
Asian J Endosc Surg. 2016 May;9(2):157-60. doi: 10.1111/ases.12270.
Internal hernia is the cause of only 1% of intestinal obstructions, and left paraduodenal hernias (PDH) comprise about 50% of these cases. As the presentation of PDH is varied, diagnosis is often delayed. Here, we report two patients with left PDH presenting in a subacute manner and diagnosed rapidly with the help of a CT scan. Both underwent successful laparoscopic repair; one patient had closure of the defect, and the other required excision of the sac prior to the closure. We review 21 cases of left PDH treated laparoscopically that were previously reported in the literature, including 14 from Asian countries.
内疝仅占肠梗阻病因的1%，其中左十二指肠旁疝（PDH）约占这些病例的50%。由于PDH的表现多样，诊断往往延迟。在此，我们报告两名以亚急性方式就诊的左PDH患者，并借助CT扫描迅速确诊。两人均接受了成功的腹腔镜修补术；一名患者闭合了缺损，另一名患者在闭合前需要切除疝囊。我们回顾了文献中先前报道的21例经腹腔镜治疗的左PDH病例，其中14例来自亚洲国家。
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