Shadhu Kamleshsingh, Ramlagun Dadhija, Ping Xiaochun
Department of General Surgery, Jiangsu Province Hospital, First Affiliated hospital of Nanjing Medical University, Guangzhou Road, 300, Gulou District, Nanjing, 210029, Jiangsu Province, People's Republic of China.
Pancreas Center, Jiangsu Province Hospital, First Affiliated hospital of Nanjing Medical University, Guangzhou Road, 300, Gulou District, Nanjing, 210029, Jiangsu Province, People's Republic of China.
BMC Surg. 2018 May 30;18(1):32. doi: 10.1186/s12893-018-0365-8.
Para-duodenal hernia (PDH) represents rare clinical entities based on few literatures.
We report five cases of Para-duodenal hernia, all occurring in male patients ranging from 34 to 75 years of age. The patients had varied manifestations presenting with abdominal pain with or without vomiting and nausea and with or without signs of intestinal obstruction. CT images showed cluster of dilated bowel segments with displaced mesenteric vessels at hernial orifice. Laparoscopic surgical approach was adopted, and the patients were discharged about a week later without further complications.
We hope to raise awareness about the management of this rare clinical entity and the benefits of CT imaging and laparoscopic surgery as standard approaches.
根据少量文献，十二指肠旁疝（PDH）是一种罕见的临床病症。
我们报告5例十二指肠旁疝病例，均发生于34至75岁的男性患者。患者表现各异，有腹痛，伴或不伴有呕吐和恶心，有或无肠梗阻体征。CT图像显示疝孔处有扩张肠段聚集及肠系膜血管移位。采用腹腔镜手术方法，患者约一周后出院，无进一步并发症。
我们希望提高对这种罕见临床病症管理的认识，以及CT成像和腹腔镜手术作为标准方法的益处。
