Suppr超能文献

一例罕见的升结肠扭转经网膜孔绞窄的病例:“

A rare case of a volvulus of the ascending colon strangulated through the foramen of Winslow: ".

作者信息

Vandaele Tom, Beneens Noor, De Ryck Marie, Devos Bart, Philippe Marc, Vandeputte Mathieu, Vlasselaers Jo

机构信息

Department of General Surgery, General HOSPITAL ZENO, Knokke-Heist, 8300, Belgium.

出版信息

Radiol Case Rep. 2025 Jun 3;20(9):4144-4151. doi: 10.1016/j.radcr.2025.05.026. eCollection 2025 Sep.

Abstract

A herniation and strangulation of an ascending colon volvulus through the Foramen of Winslow (FoW) is an exceptionally rare surgical emergency associated with significant mortality and morbidity if not treated promptly. Obtaining a preoperative diagnosis of a Foramen of Winslow hernia (FoW-H) is challenging because of its non-specific clinical presentation, and even with advanced CT imaging the diagnosis is often missed, due to its rarity and the unfamiliarity of surgeons and radiologists with its diagnostic signs. This often leads to missed or delayed diagnoses. In this case report we presents our firsthand experience with this rare type of internal hernia. Furthermore, we provide a review of the literature on this rare pathology in which we discuss relevant signs, symptoms, risk factors, imaging signs, and treatment options. This report highlights the need for awareness for this rare disease and its clinical and radiological signs, and emphasizes the importance of an early diagnosis and timely surgical intervention to improve patient outcomes.

摘要

升结肠扭转经网膜孔(FoW)发生疝出和绞窄是一种极为罕见的外科急症,若不及时治疗,会导致显著的死亡率和发病率。由于网膜孔疝(FoW-H)的临床表现不具特异性,术前诊断颇具挑战性。即便采用先进的CT成像技术,因其罕见性以及外科医生和放射科医生对其诊断征象不熟悉,诊断仍常被漏诊,这往往导致诊断延误或漏诊。在本病例报告中,我们介绍了对这种罕见类型内疝的第一手经验。此外,我们对关于这种罕见病理的文献进行了综述,讨论了相关的体征、症状、危险因素、影像学征象及治疗选择。本报告强调了认识这种罕见疾病及其临床和放射学征象的必要性,并强调早期诊断和及时手术干预对改善患者预后的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a5/12171746/0431f4207c2f/gr1.jpg

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验