Kwon Caroline S, Dai Jennifer, Sauer Mark V
Department of Obstetrics, Gynecology, Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States of America.
Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, United States of America.
Case Rep Womens Health. 2021 Nov 16;33:e00371. doi: 10.1016/j.crwh.2021.e00371. eCollection 2022 Jan.
Internal hernias rarely lead to bowel obstruction; they are caused by a natural or unnatural opening within the peritoneal cavity. Defects in the peritoneum are extremely rare. Patients present with features of intestinal obstruction and most cases are diagnosed during surgery.
A 47-year-old woman with a history of multiple abdominal surgeries had a small bowel hernia through a peritoneal defect of the anterior abdominal wall. She presented with abdominal pain and distension and was taken to the operating room, where findings revealed an intact fascia and small bowel herniation through a midline peritoneal defect.
Herniation of small bowel through the peritoneum is a rare type of internal hernia that can manifest in a patient with extensive history of abdominal surgeries. This type of clinical picture warrants a high degree of suspicion for prompt and proper management. Surgery should not be delayed, to avoid increased morbidity and mortality.
内疝很少导致肠梗阻；它们由腹腔内的自然或非自然开口引起。腹膜缺损极为罕见。患者表现出肠梗阻的特征，大多数病例在手术期间被诊断出来。
一名有多次腹部手术史的47岁女性通过前腹壁的腹膜缺损出现小肠疝。她表现为腹痛和腹胀，被送往手术室，术中发现筋膜完整，小肠通过中线腹膜缺损疝出。
小肠通过腹膜疝出是一种罕见的内疝类型，可出现在有广泛腹部手术史的患者中。这种临床表现需要高度怀疑，以便及时进行妥善处理。手术不应延迟，以避免发病率和死亡率增加。
