单孔腹腔镜手术治疗左十二指肠旁疝：一例报告
Left paraduodenal hernia treated by single-incision laparoscopic surgery: a case report.
作者信息
Hasegawa Noboru, Takeyama Hiroshi, Suzuki Yozo, Noura Shingo, Odagiri Kazuki, Yanagimoto Yoshitomo, Yamashita Masafumi, Shimizu Junzo, Kawase Tomono, Imamura Hiroshi, Iwazawa Takashi, Tomita Naohiro, Dono Keizo
机构信息
Department of Surgery, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka, Osaka, 560-8565, Japan.
出版信息
Surg Case Rep. 2021 Sep 21;7(1):213. doi: 10.1186/s40792-021-01292-7.
BACKGROUND
Paraduodenal hernia is a rare internal hernia which accounts for only 1% of all intestinal hernias. There have been limited reported cases of paraduodenal hernia treated by laparoscopic surgery. We report a case of left paraduodenal hernia that was successfully treated by single-incision laparoscopic surgery (SILS).
CASE PRESENTATION
A 17-year-old woman presented with left upper abdominal pain. An abdominal enhanced multi-detector computed tomography demonstrated encapsulated cluster of small bowel loops in the left upper quadrant which passed through the dorsal side of the inferior mesenteric vein, and showed that blood flow of the prolapsed small bowel was preserved. We preoperatively diagnosed left paraduodenal hernia without ischemia or necrosis. We performed elective SILS because she was a young actress training school student and cosmetic benefit was thought to be important. We pulled out the protruded small bowel and closed a defect with a running suture by SILS. The patient was discharged 3 days after the surgery with no complications.
CONCLUSIONS
We reported the case of left paraduodenal hernia successfully diagnosed and treated by SILS.
背景
十二指肠旁疝是一种罕见的内疝，仅占所有肠疝的1%。腹腔镜手术治疗十二指肠旁疝的报道病例有限。我们报告一例通过单孔腹腔镜手术（SILS）成功治疗的左十二指肠旁疝病例。
病例介绍
一名17岁女性因左上腹疼痛就诊。腹部增强多层螺旋计算机断层扫描显示左上象限有一组被包裹的小肠袢，其通过肠系膜下静脉背侧，并显示脱垂小肠的血流得以保留。我们术前诊断为无缺血或坏死的左十二指肠旁疝。由于她是一名年轻的女演员培训学校学生，考虑到美容效果很重要，我们为她实施了择期单孔腹腔镜手术。我们通过单孔腹腔镜手术拉出突出的小肠并用连续缝合关闭缺损。患者术后3天出院，无并发症。
结论
我们报告了一例通过单孔腹腔镜手术成功诊断和治疗的左十二指肠旁疝病例。
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