Inukai Koichi, Takashima Nobuhiro, Miyai Hirotaka, Yamamoto Minoru, Kobayashi Kenji, Tanaka Moritsugu, Hayakawa Tetsushi
Department of Surgery, Kariya Toyota General Hospital, Kariya, Aichi 448-8505, Japan.
Department of Laparoscopic Hernia Center, Kariya Toyota General Hospital, Kariya, Aichi 448-8505, Japan.
J Surg Case Rep. 2018 Apr 6;2018(4):rjy070. doi: 10.1093/jscr/rjy070. eCollection 2018 Apr.
Here, we report two patients with transomental hernia who were successfully treated with laparoscopic surgery. The first patient was a 58-year-old female who presented to our hospital with abdominal pain and vomiting; she had no history of abdominal surgery. Enhanced computed tomography revealed strangulation ileus due to an internal hernia. The second patient was a 36-year-old male who presented to our hospital with abdominal pain and no history of abdominal surgery. Enhanced computed tomography indicated transomental hernia. Emergency laparoscopic surgery in both patients revealed incarcerated bowel loops through defects in the greater omentum. The bowel segments were laparoscopically released, and the patients were uneventfully discharged on postoperative Days 4 and 8. Laparoscopic surgery is useful for the diagnosis and treatment of small bowel obstruction due to transomental hernia through the greater omentum.
在此，我们报告两例经腹腔镜手术成功治疗的网膜孔疝患者。首例患者为一名58岁女性，因腹痛和呕吐前来我院就诊；她既往无腹部手术史。增强计算机断层扫描显示因内疝导致绞窄性肠梗阻。第二例患者为一名36岁男性，因腹痛前来我院就诊，既往无腹部手术史。增强计算机断层扫描提示网膜孔疝。两名患者均行急诊腹腔镜手术，术中发现通过大网膜缺损处有嵌顿肠袢。通过腹腔镜松解肠段，两名患者分别于术后第4天和第8天顺利出院。腹腔镜手术对于诊断和治疗因经大网膜的网膜孔疝导致的小肠梗阻很有用。
