Tamimi Asad N, Withey Samuel J, Khan Sami Ullah
Department of Radiology, Basildon and Thurrock University Hospital, Basildon, UK.
Department of Radiology, King's College, London, UK.
BJR Case Rep. 2016 Jun 29;3(1):20150501. doi: 10.1259/bjrcr.20150501. eCollection 2017.
Lesser sac herniation is a rare phenomenon, where the bowel protrudes through the epiploic foramen into the lesser sac. We describe the case of a 55-year-old male who presented with acute abdominal pain and in whose case the subtle findings of lesser sac herniation were missed during CT scan reporting. Re-review of the images after the patient's condition deteriorated found evidence of herniation, and re-scanning at that point demonstrated progression of the herniation, with bowel obstruction and perforation. The findings of lesser sac herniation complicated by basculetype caecal volvulus were confirmed during laparotomy. The patient underwent right hemicolectomy with primary ileocolic anastomosis.
小网膜囊疝是一种罕见的现象，即肠管通过网膜孔突入小网膜囊。我们描述了一名55岁男性的病例，该患者表现为急性腹痛，在CT扫描报告过程中遗漏了小网膜囊疝的细微表现。在患者病情恶化后重新检查图像发现了疝的证据，此时再次扫描显示疝进展，伴有肠梗阻和穿孔。剖腹手术中证实了小网膜囊疝合并乙状结肠扭转的表现。患者接受了右半结肠切除术及一期回结肠吻合术。
