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通过粘连性网膜阑尾环形成的复杂内疝罕见表现:一例临床病例研究

Uncommon presentation of complicated internal hernia through the appendices epiploicae ring of adhesion: a clinical case study.

作者信息

Ghali Mohamed Said, Shehata Mona S, Al Obahi Mohammed, Al-Zoubi Raed M, Zarour Ahmad

机构信息

Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar.

Department of General Surgery, Ain Shams University, Cairo, Egypt.

出版信息

Front Surg. 2024 Jan 15;10:1288369. doi: 10.3389/fsurg.2023.1288369. eCollection 2023.

DOI:10.3389/fsurg.2023.1288369
PMID:38287967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10822964/
Abstract

BACKGROUND

Internal hernias are infrequent, yet serious, medical conditions with potentially severe consequences. An internal hernia resulting from an Appendices epiploicae (AE) ring is an especially rare cause, with a mere nine documented instances worldwide.

CASE REPORT

This report presents the case of a 58-year-old male who suffered from an internal hernia originating from an AE ring. The condition led to a gangrenous small bowel, which was treated by laparotomy and resection of the affected segment, followed by primary anastomosis. The post-operative recovery was favorable.

CONCLUSION

Internal hernias, although rare, warrant immediate attention and early intervention to preclude detrimental outcomes, as illustrated in this particular case.

摘要

背景

内疝虽不常见,但却是严重的医学病症,可能导致严重后果。由网膜囊疝(AE)环引起的内疝是一种极为罕见的病因,全球仅有9例记录在案。

病例报告

本报告介绍了一名58岁男性患者,他患有源自AE环的内疝。该病症导致小肠坏疽,通过剖腹手术和切除受影响节段进行治疗,随后进行一期吻合术。术后恢复良好。

结论

内疝虽罕见,但需立即关注并尽早干预,以避免不良后果,本病例即说明了这一点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/41c678c7ab10/fsurg-10-1288369-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/63c1ddba4c0b/fsurg-10-1288369-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/22099cd40e9e/fsurg-10-1288369-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/89e187dcbe92/fsurg-10-1288369-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/41c678c7ab10/fsurg-10-1288369-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/63c1ddba4c0b/fsurg-10-1288369-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/22099cd40e9e/fsurg-10-1288369-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/89e187dcbe92/fsurg-10-1288369-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cc8/10822964/41c678c7ab10/fsurg-10-1288369-g004.jpg

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Uncommon presentation of complicated internal hernia through the appendices epiploicae ring of adhesion: a clinical case study.通过粘连性网膜阑尾环形成的复杂内疝罕见表现:一例临床病例研究
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本文引用的文献

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Two connected large epiploic appendixes make a loop: A case report.两个相连的大网膜阑尾形成一个环:病例报告。
Clin Case Rep. 2022 Aug 18;10(8):e6119. doi: 10.1002/ccr3.6119. eCollection 2022 Aug.
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Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise.引起小肠梗阻的网膜附件炎:一个意外发现。
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