Macina Simona, Testa Tommaso, Losacco Caterina
University of study of Genoa (Italy) IRCCS, Largo Benzi 10, 16132 Genova, Italy.
Int J Surg Case Rep. 2016;26:104-7. doi: 10.1016/j.ijscr.2016.05.003. Epub 2016 May 17.
The incidence of occlusion syndrome caused by internal hernia is very rare, in particular when the defect is congenital discovered in adults with no previous abdominal surgery.
We present a case of a 31 year-old female patient who presented with acute abdominal pain and mechanical obstruction. The patient had never undergone abdominal surgery.
On diagnostic laparoscopy, it was found a herniation of a loop of small bowel through a hole in the falciform ligament. The obstruction was solved by the division of part of falciform ligament without intestinal resection.
Internal hernia is a very uncommon pathology, most often discovered in pediatric age because of congenital abnormalities, it must be included in the differential diagnosis in adults. Preoperative diagnosis is difficult. The diagnostic laparoscopic approach has shown to be the best.
内疝引起的梗阻综合征发病率非常低，尤其是在没有腹部手术史的成年人中发现先天性缺损时。
我们报告一例31岁女性患者，表现为急性腹痛和机械性肠梗阻。该患者从未接受过腹部手术。
在诊断性腹腔镜检查中，发现一小段小肠通过镰状韧带的一个孔发生了疝出。通过部分镰状韧带离断解决了梗阻问题，未进行肠切除。
内疝是一种非常罕见的病理情况，多数因先天性异常在儿童期被发现，在成年人中必须纳入鉴别诊断。术前诊断困难。诊断性腹腔镜检查方法已被证明是最佳的。
