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发现一例罕见的肝圆韧带腹壁疝病例。

Uncovering a Rare Case of Hepatic Round Ligament Epigastric Hernia.

作者信息

Barron-Cervantes Natalia M, Martinez-Esteban Alejandro, Villegas-Tovar Eduardo, Nuccio-Giordano Fabiola M, D G Gidi Alejandro

机构信息

General and Gastrointestinal Surgery Service, Fundación Clínica Médica Sur, Mexico City, MEX.

General Surgery, Fundación Clínica Médica Sur, Mexico City, MEX.

出版信息

Cureus. 2024 Apr 3;16(4):e57553. doi: 10.7759/cureus.57553. eCollection 2024 Apr.

Abstract

Abdominal wall hernias are one of the most common surgical diseases present in both males and females nowadays. However, with only a few cases reported in the literature, hepatic round ligament hernias are a rare clinical manifestation. This case shows how a common symptom such as epigastric pain can be associated with this rare condition. In general, abdominal computed tomography (CT) images are the choice of study to evaluate complications and the involvement of different intestinal sections. Some laboratory tests can be performed to suspect intestinal ischemia secondary to strangulated hernias. Primary repair utilizing mesh is the preferred surgical treatment. This procedure can be performed through laparoscopic or open technique, depending on the surgeon's skills and patient preference.

摘要

腹壁疝是目前男性和女性中最常见的外科疾病之一。然而,肝圆韧带疝在文献中报道的病例较少,是一种罕见的临床表现。本病例展示了诸如上腹部疼痛这样的常见症状如何与这种罕见疾病相关联。一般来说,腹部计算机断层扫描(CT)图像是评估并发症和不同肠段受累情况的首选检查方法。可以进行一些实验室检查以怀疑绞窄性疝继发的肠缺血。使用补片的一期修补是首选的手术治疗方法。根据外科医生的技术和患者的偏好,该手术可以通过腹腔镜或开放技术进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b66/11068476/203f9a5791c2/cureus-0016-00000057553-i01.jpg

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