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复杂病史患者经肠系膜疝致小肠梗阻：一例报告

Small bowel obstruction caused by transmesenteric hernia in a patient with complex medical history: a case report.

作者信息

Ahmad Y Karim, Alexia Herber, Sivarama Kotikalapudi

机构信息

Internal Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, United States.

Internal Medicine, Merit Health Wesley Hospital, Hattiesburg, United States.

出版信息

J Surg Case Rep. 2024 Dec 19;2024(12):rjae796. doi: 10.1093/jscr/rjae796. eCollection 2024 Dec.

DOI:10.1093/jscr/rjae796
PMID:39703824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11656569/
Abstract

This case report presents a rare instance of small bowel obstruction due to a transmesenteric hernia in a 47-year-old male with a complex medical history. The patient presented with acute abdominal pain, constipation, and urinary retention. Diagnostic laparoscopy revealed bowel ischemia, and open laparotomy confirmed a transmesenteric hernia with necrotic small bowel requiring resection. Postoperative recovery was uneventful, and the patient was discharged with follow-up plans. This case underscores the importance of considering internal abdominal hernias in the differential diagnosis of acute abdominal pain.

摘要

本病例报告呈现了一名47岁男性因肠系膜疝导致小肠梗阻的罕见病例，该患者有复杂的病史。患者表现为急性腹痛、便秘和尿潴留。诊断性腹腔镜检查发现肠缺血，开腹手术证实为肠系膜疝伴坏死小肠，需要进行切除。术后恢复顺利，患者出院并制定了随访计划。本病例强调了在急性腹痛的鉴别诊断中考虑腹内疝的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f538/11656569/b8fd0ae0a33c/rjae796f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f538/11656569/e030a0ecc2a3/rjae796f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f538/11656569/b8fd0ae0a33c/rjae796f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f538/11656569/e030a0ecc2a3/rjae796f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f538/11656569/b8fd0ae0a33c/rjae796f2.jpg

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本文引用的文献

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Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings.内疝：一项困难的诊断挑战。CT征象及临床发现综述。
Acta Biomed. 2019 Apr 24;90(5-S):20-37. doi: 10.23750/abm.v90i5-S.8344.
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