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闭孔疝:1例罕见病例报告。

Obturator Hernia: Report of a Rare Case.

作者信息

Tien Tran Phung D, Huy Giang Nguyen, Ngoc Huan Nguyen

机构信息

Digestive Surgery, Cho Ray Hospital, Ho Chi Minh City, VNM.

出版信息

Cureus. 2024 Aug 9;16(8):e66503. doi: 10.7759/cureus.66503. eCollection 2024 Aug.

Abstract

Obturator hernia, an uncommon type of abdominal wall hernia, predominantly occurs in elderly, multiparous women and often presents with nonspecific symptoms. The preoperative diagnosis of obturator hernia is particularly challenging due to its vague clinical manifestations. The clinical picture consists of intestinal blockage, abdominal pain, nausea, and vomiting. The treatment is only surgical. Delayed diagnosis can result in intestinal necrosis, thereby increasing the risk of mortality. This report discusses the case of a 73-year-old woman who experienced abdominal pain and restricted extension of her right leg. Computed tomography confirmed the presence of a right obturator hernia. The hernia was successfully repaired without necessitating resection of the small intestine. Postoperatively, the patient recovered well and experienced no complications.

摘要

闭孔疝是一种不常见的腹壁疝类型,主要发生于老年经产妇,且常表现为非特异性症状。由于临床表现模糊,闭孔疝的术前诊断极具挑战性。其临床症状包括肠梗阻、腹痛、恶心和呕吐。治疗方式仅为手术。延迟诊断可导致肠坏死,从而增加死亡风险。本报告讨论了一名73岁女性患者的病例,该患者出现腹痛及右下肢伸展受限。计算机断层扫描证实存在右侧闭孔疝。该疝成功修复,无需切除小肠。术后,患者恢复良好,未出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1b/11380796/8453378a832b/cureus-0016-00000066503-i01.jpg

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