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病例报告:一例温氏孔疝导致门静脉受压。

Case report: a case of foramen of Winslow hernia causing portal venous compression.

作者信息

Yang Caroline M, Sabat Nestor, Jayewardene Ishanth Devinda

机构信息

General Surgery, Port Macquarie Base Hospital, Wrights Rd, Port Macquarie 2444, Australia.

出版信息

J Surg Case Rep. 2025 May 31;2025(6):rjaf357. doi: 10.1093/jscr/rjaf357. eCollection 2025 Jun.

Abstract

Foramen of Winslow hernias are a rare pathology that often have a delayed diagnosis and can lead to bowel obstruction and ischemia. We present a case of pre-operatively diagnosed foramen of Winslow hernia in a female in her 70s that presented with right upper quadrant pain. This involved herniation of the colon, causing transient portal venous compression. In this case it was managed operatively with a laparoscopic converted to open reduction of the herniated colon, with resolution of venocongestion post operatively.

摘要

温斯洛孔疝是一种罕见的病理情况,常常诊断延迟,可导致肠梗阻和缺血。我们报告一例70多岁女性患者,术前诊断为温斯洛孔疝,表现为右上腹疼痛。这涉及结肠疝出,导致门静脉短暂受压。该病例通过手术治疗,先采用腹腔镜手术,后转为开放手术还纳疝出的结肠,术后静脉充血得到缓解。

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