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坐骨疝导致绞窄性回肠和同侧卵巢:病例报告及文献复习

Sciatic hernia led to strangulated ileum and ipsilateral ovary: A case report and review of literature.

作者信息

Dong Ze-Peng, She Jun-Jun, Sun Xue-Jun, Zheng Jian-Bao

机构信息

Department of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China.

出版信息

Heliyon. 2023 Feb 18;9(3):e13904. doi: 10.1016/j.heliyon.2023.e13904. eCollection 2023 Mar.

Abstract

Sciatic hernia is one of the rarely pelvic floor hernias. We report a 45-year-old woman who presented with acute crampy pain of hypogastrium which radiated down the back of the left thigh and found a mass in her left buttock area which is about fist size with local pain, so she had to force to bow position when walking. She was also associated with definite gastro-intestinal symptoms. Computed tomography (CT) of the pelvis and abdomen demonstrated the herniation of an ileal loop through the sciatic foramen on the left side. The diagnosis and management of this case are herein described and previous publications on sciatic hernias are reviewed.

摘要

坐骨疝是一种罕见的盆底疝。我们报告一名45岁女性,她出现下腹部急性痉挛性疼痛,疼痛向下放射至左大腿后侧,并在左臀部区域发现一个拳头大小的肿块,伴有局部疼痛,因此行走时不得不强迫弯腰。她还伴有明确的胃肠道症状。骨盆和腹部的计算机断层扫描(CT)显示一个回肠袢经左侧坐骨大孔疝出。本文描述了该病例的诊断和治疗,并回顾了以往关于坐骨疝的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab59/9982031/f26cd3afdb57/gr1.jpg

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