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成人Bochdalek 疝嵌顿——病例报告。

Incarceration of Bochdalek hernia in an adult - case report.

出版信息

Rozhl Chir. 2024;103(3):100-103. doi: 10.33699/PIS.2024.103.3.100-103.

Abstract

This paper presents the case of a 32-year-old female patient with acute colon incarceration in the thoracic cavity due to Bochdalek hernia. An asymptomatic right Bochdalek hernia was also discovered, which is a rare finding. The patient underwent laparotomy with reposition of the incarcerated organs and primary closure of the left-sided defect. The stenotic portion of the originally incarcerated colon was resected one year later due to the symptoms of chronic bowel problems. At present, 18 months from the first surgery, the patient's clinical condition remains good with a positive clinical response to the secondary surgery involving resection of the stenotic colon, and the right Bochdalek hernia remains asymptomatic.

摘要

本文介绍了一例 32 岁女性患者,因 Bochdalek 疝导致急性结肠嵌顿于胸腔。同时还发现了一例无症状的右侧 Bochdalek 疝,这是一种罕见的发现。患者接受了剖腹手术,对嵌顿的器官进行复位,并对左侧缺损进行了一期修补。一年后,由于慢性肠道问题的症状,对最初嵌顿的结肠狭窄部分进行了切除。目前,在第一次手术后的 18 个月,患者的临床状况良好,对涉及狭窄结肠切除的二次手术有积极的临床反应,右侧 Bochdalek 疝仍然无症状。

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