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经网膜孔的腹腔镜下盲肠和升结肠疝处理

Laparoscopic management of cecum and ascending colon hernia through the foramen of Winslow.

作者信息

Mahnashi Yasir Abdu, Alshamrani Abdullah Mohammed, Alabood Mohammad Abdulaziz, Alzahrani Ali Mohammed, Sairafi Rami Abdulrahman

机构信息

General Surgery Department, Security Forces Hospital Program, Riyadh 11481, Saudi Arabia.

General Surgery Department, King Fahad Specialist Hospital Program, PO Box 30235, Buraydah 51477, Saudi Arabia.

出版信息

J Surg Case Rep. 2019 Feb 8;2019(2):rjz026. doi: 10.1093/jscr/rjz026. eCollection 2019 Feb.

Abstract

Herniation of gastrointestinal structures through the foramen of Winslow is rare, with patients presenting with nonspecific symptoms. We describe a 47-year-old woman who presented with generalized, intermittent, colicky abdominal pain for a duration of 4 days. An abdominal computed tomography scan revealed findings consistent with herniation of the ileocecal junction through the foramen of Winslow. Laparoscopic assisted internal hernia reduction with ileocecal resection and side-to-side ileocolic anastomosis were done. The cecum and terminal ileum were resected due to signs of ischemia. Her postoperative was uneventful, and she was discharged in the second postoperative day. She did not show any signs or symptoms suggestive of complications or recurrence during her follow-up.

摘要

胃肠道结构通过网膜孔疝出的情况罕见,患者表现为非特异性症状。我们描述了一名47岁女性,她出现广泛性、间歇性绞痛性腹痛4天。腹部计算机断层扫描显示的结果符合回盲部通过网膜孔疝出。进行了腹腔镜辅助内疝复位术,同时行回盲部切除术和端端回结肠吻合术。由于存在缺血迹象,切除了盲肠和回肠末端。她术后恢复顺利,术后第二天出院。在随访期间,她未出现任何提示并发症或复发的体征或症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/342f/6368205/b53104198e03/rjz026f01.jpg

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