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“老妇人疝”,闭孔疝:一例报告及文献综述

The "Little-Old-Lady's Hernia", Obturator Hernia: A Case Report and Literature Review.

作者信息

Salazar-Rios Enrique, Cruz Olascoaga Alexa

机构信息

División de Estudios de Posgrado Facultad de Medicina Universidad Nacional Autónoma de México, México City, Mexico.

Departamento de Gastrocirugía Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez" Centro Médico Nacional Siglo XXI Instituto Mexicano del Seguro Social, México City, Mexico.

出版信息

Case Rep Surg. 2024 Jun 18;2024:1039438. doi: 10.1155/2024/1039438. eCollection 2024.

Abstract

Obturator hernias, though rare, are clinically significant abdominal hernias, predominantly affecting elderly, thin women, with an estimated prevalence of less than 1%. The primary treatment involves surgical intervention to reduce and repair the defect, either through laparotomy or laparoscopy, with bowel resection needed in up to 75% of patients. Here, we present the case of an 83-year-old woman presenting with abdominal pain and a history of constipation. An abdominal computed tomography scan demonstrated a left obturator hernia with small bowel obstruction. Successful reduction of the hernia was achieved, albeit requiring intestinal resection via an open surgical approach. Subsequently, the patient achieved complete recovery.

摘要

闭孔疝虽然罕见,但却是具有临床意义的腹疝,主要影响老年瘦弱女性,估计患病率低于1%。主要治疗方法是通过剖腹手术或腹腔镜手术进行手术干预,以复位并修复缺损,高达75%的患者需要进行肠切除。在此,我们报告一例83岁女性患者,表现为腹痛且有便秘史。腹部计算机断层扫描显示左侧闭孔疝伴小肠梗阻。尽管需要通过开放手术入路进行肠切除,但成功实现了疝的复位。随后,患者完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/11250703/f1ee14a3a91f/CRIS2024-1039438.001.jpg

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