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因嵌顿性膀胱内疝导致的急腹症合并偶然发现的肾肿瘤:病例报告及文献复习。

Acute abdomen due to strangulated intravesical hernia with incidental finding of kidney tumor: A case report and literature review.

机构信息

Center for Digestive Surgery, Clinical Center of Montenegro and Medical Faculty University of Montenegro, Podgorica-Montenegro.

Center for Vascular Surgery Clinical Center of Montenegro, Podgorica-Montenegro.

出版信息

Ulus Travma Acil Cerrahi Derg. 2022 Dec;28(12):1739-1743. doi: 10.14744/tjtes.2021.67059.

DOI:10.14744/tjtes.2021.67059
PMID:36453785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10198307/
Abstract

Internal supravesical hernia is a rare type of internal abdominal hernia with overall incidence <4% of all internal abdominal hernias. The clinical diagnosis is a major preoperative diagnostic challenge for both the surgeon and the radiologist. It is a rare cause of small bowel obstruction, but in case of strangulation it can be fatal and it necessitates urgent surgical intervention. In this case study, we report a case of intravesical type of supravesical hernia in a 63-year-old man with acute intestinal obstruction and an accidental finding of a kid-ney tumor. In the article, we discuss the clinical picture, diagnosis, risk factors, treatment strategy and complications of this rare entity.

摘要

膀胱内疝是一种罕见的腹内疝,总体发生率<4%,属于所有腹内疝的 4%。临床诊断对外科医生和放射科医生来说都是一个重大的术前诊断挑战。它是小肠梗阻的罕见原因,但如果发生绞窄,可能是致命的,需要紧急手术干预。在本病例研究中,我们报告了一例 63 岁男性的膀胱内型膀胱上疝,该患者患有急性肠梗阻和偶然发现的肾肿瘤。在本文中,我们讨论了这种罕见疾病的临床表现、诊断、危险因素、治疗策略和并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fc6/10198307/01132795bd26/TJTES-28-1739-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fc6/10198307/3814773c3585/TJTES-28-1739-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fc6/10198307/11cde2761ce9/TJTES-28-1739-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fc6/10198307/01132795bd26/TJTES-28-1739-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fc6/10198307/3814773c3585/TJTES-28-1739-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fc6/10198307/11cde2761ce9/TJTES-28-1739-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fc6/10198307/01132795bd26/TJTES-28-1739-g003.jpg

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本文引用的文献

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Laparoscopic treatment of obstructed internal supravesical hernia: A cases series and rewiev of the literature.腹腔镜治疗膀胱上内疝梗阻:病例系列及文献综述
Ann Med Surg (Lond). 2018 Oct 23;36:58-62. doi: 10.1016/j.amsu.2018.10.021. eCollection 2018 Dec.
2
Internal supravesical hernia repaired via the anterior approach alone: A case report.单纯经前路修复膀胱上内疝:1例报告
Int J Surg Case Rep. 2017;39:297-300. doi: 10.1016/j.ijscr.2017.08.023. Epub 2017 Aug 24.
3
Clinical Characteristics and Laparoscopic Treatment of Supravesical Hernia.
膀胱上疝的临床特征及腹腔镜治疗
J Laparoendosc Adv Surg Tech A. 2017 Nov;27(11):1192-1197. doi: 10.1089/lap.2017.0188. Epub 2017 Jun 20.
4
Internal supravesical hernia accompanied with anomalous fold formations: a cadaveric case report.伴有异常皱襞形成的膀胱上内疝:一例尸体解剖病例报告
Surg Radiol Anat. 2014 Dec;36(10):1089-92. doi: 10.1007/s00276-013-1252-8. Epub 2014 Jan 16.
5
Internal hernia: complex diagnostic and therapeutic problem.腹内疝:复杂的诊断与治疗难题。
Int J Surg. 2009 Aug;7(4):334-7. doi: 10.1016/j.ijsu.2009.04.013. Epub 2009 May 5.
6
Supravesical hernia--a rare cause of intestinal obstruction.膀胱上疝——肠梗阻的罕见病因。
Int J Surg. 2008 Dec;6(6):471-2. doi: 10.1016/j.ijsu.2006.05.023. Epub 2006 Jul 10.
7
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Surg Today. 2008;38(10):899-904. doi: 10.1007/s00595-007-3756-5. Epub 2008 Sep 27.
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