Pacheco André C, Jervis Maria J, Pimenta Joana, Escrevente Ricardo, Caratão Fátima
General Surgery Department, Hospital José Joaquim Fernandes, Beja, Portugal.
Head of General Surgery Department, Hospital José Joaquim Fernandes, Beja, Portugal.
J Surg Case Rep. 2020 Mar 2;2020(3):rjaa038. doi: 10.1093/jscr/rjaa038. eCollection 2020 Mar.
Small bowel obstruction is one of the most common causes for acute abdominal pain leading to surgical admissions, occurring most frequently due to postoperative adhesions. Although less common, internal hernia is also a possible etiology, in which a delay on its therapy may lead to a not so dismal morbidity and mortality. Here, we report the case of a 24 year old Caucasian man that was admitted in our emergency department with an inaugural episode of sudden-onset epigastric pain associated with vomiting. After observation and diagnostic workup, the patient underwent urgent laparotomy that revealed an ischemic small bowel due to a double omental hernia, being successfully treated without enteric resection.
小肠梗阻是导致急性腹痛并需手术入院治疗的最常见原因之一，最常由术后粘连引起。虽然不太常见，但内疝也是一种可能的病因，治疗延误可能导致较高的发病率和死亡率。在此，我们报告一例24岁的白种男性患者，因突发上腹部疼痛并伴有呕吐首次就诊于我院急诊科。经过观察和诊断检查后，患者接受了紧急剖腹手术，术中发现因双网膜疝导致小肠缺血，最终在未进行肠切除的情况下成功治愈。
