Kyriakides G K, Simmons R L, Buls J, Najarian J S
Am J Surg. 1978 Nov;136(5):629-30. doi: 10.1016/0002-9610(78)90323-9.
Three cases of bowel obstruction due to internal hernia caused by entrapment of bowel or omentum through a defect in the peritoneum covering the transplanted kidney are described. All three patients survived due to early surgical intervention and reduction of the hernia and/or resection of necrotic bowel or omentum. In view of the high mortality of peritonitis in transplant patients, early surgical treatment is indicated in all cases of intestinal obstruction to avoid the sequelae of bowel infarction. This "paratransplant" hernia represents the newest type of internal hernia described.
本文描述了3例因覆盖移植肾的腹膜缺损导致肠管或网膜嵌顿而引起内疝导致肠梗阻的病例。由于早期手术干预以及疝的还纳和/或坏死肠管或网膜的切除，所有3例患者均存活。鉴于移植患者腹膜炎的高死亡率，所有肠梗阻病例均应尽早进行手术治疗，以避免肠梗死的后遗症。这种“移植旁”疝是所描述的最新类型的内疝。
