Morgan Jacob B, Corrier Grace, Perry Trevor, Hudspeth Nicholas, Garvie Michael, Bradbury Phillip, Newell Savannah, Lipka John
Medicine, Edward Via College of Osteopathic Medicine, Monroe, USA.
Anatomical Sciences, Edward Via College of Osteopathic Medicine, Monroe, USA.
Cureus. 2024 Mar 22;16(3):e56712. doi: 10.7759/cureus.56712. eCollection 2024 Mar.
Internal herniation is a protrusion of the bowel limited to the abdominal cavity. This pathology is rare and difficult to diagnose due to a wide array of symptoms that may manifest. Internal hernias have the potential to affect surrounding organs such as the stomach and adjacent bowel due to the compressive force of the protruding bowel. The effects of internal herniation commonly present in one of two ways: acute obstruction which requires emergent intervention and subacute, vague symptoms that are difficult to diagnose. This case presents the findings of a post-mortem dissection of a 92-year-old willed body donor. Dissection of the abdominal cavity revealed a large internal hernia of the transverse colon that communicated superiorly posterior to the stomach. As a result of the hernia, the stomach in this patient had a stricture of the gastric body. We assert that this stricture was formed over an extended period of time due to the lack of diagnosis and treatment of the internal hernia.
内疝是指肠管突出但局限于腹腔内。这种病理情况较为罕见，由于可能出现的一系列症状，其诊断也很困难。由于突出肠管的压迫力，内疝有可能影响周围器官，如胃和邻近肠管。内疝的影响通常以两种方式之一出现：需要紧急干预的急性梗阻，以及难以诊断的亚急性、模糊症状。本病例展示了对一名92岁遗体捐赠者进行尸检解剖的结果。腹腔解剖发现横结肠有一个大的内疝，该内疝向上与胃后方相通。由于该疝，该患者的胃体出现了狭窄。我们认为，由于对内疝缺乏诊断和治疗，这种狭窄是在较长一段时间内形成的。
