Soeta Nobutoshi, Saito Takuro, Higuchi Mitsunori, Nemoto Tetsutaro, Matsuida Hazime, Oshibe Ikuro
Department of Surgery, Aizu Medical Center, Fukushima Medical University, Aizuwakamatsu, Japan.
Asian J Endosc Surg. 2018 Feb;11(1):68-70. doi: 10.1111/ases.12402. Epub 2017 Jun 30.
Intestinal stenosis of Garré is a rare condition caused by a benign fibrous bowel stricture due to complicated strangulated hernia. We present a case of intestinal stenosis of Garré associated with right femoral hernia in an 85-year-old woman. The patient visited our hospital with a 2-day history of vomiting. Her abdomen was slightly distended. A mass was palpated in the right groin region. CT showed prolapse of the small intestine in the right groin region. An incarcerated right femoral hernia was diagnosed and manually reduced. Thirteen days later, the patient complained of abdominal pain. CT revealed dilatation and caliber change in part of the small bowel, indicating a small bowel obstruction due to intestinal stenosis of Garré. Laparoscopic release of the bowel obstruction and femoral hernia repair via an anterior approach were performed simultaneously. No recurrence of femoral hernia or bowel obstruction was noted at the 15-month follow-up.
加雷氏肠狭窄是一种由绞窄性疝并发症引起的良性纤维性肠狭窄导致的罕见病症。我们报告一例85岁女性患有与右股疝相关的加雷氏肠狭窄病例。该患者因呕吐2天前来我院就诊。其腹部稍有膨隆。在右腹股沟区可触及一个肿块。CT显示小肠在右腹股沟区脱垂。诊断为嵌顿性右股疝并手法复位。13天后，患者诉腹痛。CT显示部分小肠扩张及管径改变，提示加雷氏肠狭窄导致小肠梗阻。同时进行了腹腔镜下肠梗阻松解术及经前路股疝修补术。在15个月的随访中未发现股疝或肠梗阻复发。
