Nguyen Bao H, Mcguirt Aron S
General Surgery, University of Central Florida College of Medicine, Orlando, USA.
General Surgery, Bay Pines VA Health Care system, St. Petersburg, USA.
Cureus. 2024 Jun 16;16(6):e62484. doi: 10.7759/cureus.62484. eCollection 2024 Jun.
This is a case report of an 82-year-old male who presented with intractable and diffuse abdominal pain and had a computed tomography (CT) abdomen showing a closed loop obstruction in the right hemiabdomen with anteromedial displacement of the cecum and ascending colon. Exploratory laparotomy revealed a gangrenous segment of the ileum strangulated by a transomental hernia in the right lower quadrant. The nonviable bowel was resected, and the healthy bowel segments were anastomosed. It is important to correlate the clinical signs of bowel obstruction with radiographic findings of internal hernia to expedite surgical intervention and prevent complications of bowel ischemia.
这是一例82岁男性的病例报告，该患者表现为顽固性弥漫性腹痛，腹部计算机断层扫描（CT）显示右半腹有一个闭袢性梗阻，盲肠和升结肠向前内侧移位。剖腹探查发现右下腹经网膜疝绞窄的一段坏死回肠。切除无活力的肠段，并将健康的肠段进行吻合。将肠梗阻的临床体征与内疝的影像学表现相关联，对于加快手术干预并预防肠缺血并发症很重要。
