Lamichhane Samiksha, Koirala Sapana, Khanal Bhawani
Department of Radiodiagnosis and Imaging, BPKIHS, Dharan, Nepal.
Department of Surgery, BPKIHS, Dharan, Nepal.
Radiol Case Rep. 2024 Nov 11;20(1):629-631. doi: 10.1016/j.radcr.2024.10.034. eCollection 2025 Jan.
Internal hernias are a rare entity with an incidence of 0.2%-0.9% among all hernias. Patients may present with a wide spectrum of symptoms, but strangulated para-duodenal hernias are relatively rare. We present a case of a 24-year-old male who presented with severe abdominal pain. He was diagnosed with a left para-duodenal hernia through contrast-enhanced computed tomography of the abdomen and pelvis. He underwent exploratory laparotomy followed by the resection of strangulated ileal loops with ileo-ileal anastomosis. Emergency surgery is the mainstay of management, and the approach to surgery, open vs. laparoscopic, depends on the surgeon's expertise and available infrastructure. The mortality rate is high if hernias are complicated by incarceration, strangulation, or obstruction.
内疝是一种罕见的疾病，在所有疝中发生率为0.2%-0.9%。患者可能出现各种各样的症状，但绞窄性十二指肠旁疝相对少见。我们报告一例24岁男性患者，他因严重腹痛就诊。通过腹部和盆腔增强计算机断层扫描，他被诊断为左十二指肠旁疝。他接受了剖腹探查术，随后切除绞窄的回肠袢并行回肠-回肠吻合术。急诊手术是主要的治疗方法，手术方式选择开放手术还是腹腔镜手术，取决于外科医生的专业技能和可用的基础设施。如果疝并发嵌顿、绞窄或梗阻，死亡率很高。
