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右十二指肠旁疝:小肠绞窄的罕见原因。

Right Paraduodenal Hernia: A Rare Cause of Small Bowel Strangulation.

作者信息

Bollampally Aishwarya Reddy, Dhanapal Baskaran, Mohammed Faiz Hussain

机构信息

Surgery, Apollo Institute of Medical Sciences and Research, Hyderabad, IND.

出版信息

Cureus. 2020 Nov 30;12(11):e11807. doi: 10.7759/cureus.11807.

Abstract

Internal hernias are a rare cause of intestinal obstruction. Among the internal hernias, left paraduodenal hernia is the most typical type followed by the right paraduodenal hernia. It is impossible to make a clinical diagnosis of internal hernia, as there are no specific symptoms or physical signs. A high degree of suspicion is required, and an accurate diagnosis can be made using cross-sectional imaging of the abdomen like a Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI) scan. In this case report, we present our experience in managing a patient who had a right paraduodenal hernia with small bowel strangulation. We present this case report to highlight the importance of considering internal hernias like right  hernia in the differential diagnosis of intestinal obstruction.

摘要

内疝是肠梗阻的罕见病因。在内疝中,左十二指肠旁疝是最典型的类型,其次是右十二指肠旁疝。由于没有特定的症状或体征,内疝无法通过临床诊断。需要高度怀疑,使用腹部横断面成像如计算机断层扫描(CT)或磁共振成像(MRI)扫描才能做出准确诊断。在本病例报告中,我们介绍了处理一名患有右十二指肠旁疝并伴有小肠绞窄患者的经验。我们呈现此病例报告是为了强调在肠梗阻的鉴别诊断中考虑像右十二指肠旁疝这样的内疝的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343c/7779179/013de207f578/cureus-0012-00000011807-i01.jpg

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