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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.

DOI:10.1155/2024/1039438
PMID:39015132
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11250703/
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/dfc0/11250703/7df91cebac7f/CRIS2024-1039438.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/11250703/f1ee14a3a91f/CRIS2024-1039438.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/11250703/0ae89acce420/CRIS2024-1039438.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/11250703/7df91cebac7f/CRIS2024-1039438.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/11250703/f1ee14a3a91f/CRIS2024-1039438.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/11250703/0ae89acce420/CRIS2024-1039438.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/11250703/7df91cebac7f/CRIS2024-1039438.003.jpg

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1
The "Little-Old-Lady's Hernia", Obturator Hernia: A Case Report and Literature Review.“老妇人疝”,闭孔疝:一例报告及文献综述
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Am J Case Rep. 2021 Aug 4;22:e931398. doi: 10.12659/AJCR.931398.

本文引用的文献

1
Management and outcomes of obturator hernias: a systematic review and meta-analysis.闭孔疝的治疗和结局:系统评价和荟萃分析。
Hernia. 2023 Aug;27(4):795-806. doi: 10.1007/s10029-023-02808-w. Epub 2023 Jun 4.
2
Case report: Obturator hernia: Diagnosis and surgical treatment.病例报告:闭孔疝:诊断与外科治疗。
Front Surg. 2023 Apr 25;10:1159246. doi: 10.3389/fsurg.2023.1159246. eCollection 2023.
3
Incarcerated obturator hernia, an extremely rare cause of intestinal obstruction: case series.嵌顿性闭孔疝,一种极其罕见的肠梗阻病因:病例系列研究。
Ulus Travma Acil Cerrahi Derg. 2023 May;29(5):633-637. doi: 10.14744/tjtes.2022.42361.
4
Obturator hernia (the little old lady's hernia) diagnosed via computed tomography: a case report.通过计算机断层扫描诊断闭孔疝(“小老太太疝”):一例报告
Ann Med Surg (Lond). 2023 Apr 10;85(4):1282-1285. doi: 10.1097/MS9.0000000000000578. eCollection 2023 Apr.
5
The Feasibility and Potential Advantages of Laparoscopic Management of Incarcerated Obturator Hernia Over the Open Approach.腹腔镜治疗闭孔疝嵌顿的可行性和潜在优势优于开放手术。
Surg Laparosc Endosc Percutan Tech. 2021 Dec 15;32(2):241-246. doi: 10.1097/SLE.0000000000001029.
6
Laparotomy with suture repair is the most common treatment for obturator hernia: a scoping review.剖腹手术缝合修补是闭孔疝最常见的治疗方法:系统评价。
Langenbecks Arch Surg. 2021 Sep;406(6):1733-1738. doi: 10.1007/s00423-021-02293-8. Epub 2021 Aug 19.
7
Imaging Modalities for Evaluation of Intestinal Obstruction.用于评估肠梗阻的影像学检查方法
Clin Colon Rectal Surg. 2021 Jul;34(4):205-218. doi: 10.1055/s-0041-1729737. Epub 2021 Jun 2.
8
Comparison of postoperative infection after emergency inguinal hernia surgery with enterectomy between mesh repair and non-mesh repair: a national database analysis.急诊腹股沟疝修补术联合肠切除术术后感染的网片修补与非网片修补比较:一项全国性数据库分析
Hernia. 2022 Feb;26(1):217-223. doi: 10.1007/s10029-021-02439-z. Epub 2021 Jun 17.
9
An extraordinary cause of intestinal obstruction, incarcerated obturator hernia.一种特殊的肠梗阻病因:闭孔疝嵌顿。
Ann Ital Chir. 2021 May 28;92:S2239253X21034599.
10
Diagnosis and treatment of obturator hernia: retrospective analysis of 86 clinical cases at a single institution.闭孔疝的诊断和治疗:单中心 86 例临床病例回顾性分析。
BMC Surg. 2021 Mar 9;21(1):124. doi: 10.1186/s12893-021-01125-2.