Vannineuse A
Acta Chir Belg. 1978 Sep-Oct;77(5):347-50.
A personal case and a review of the literature are presented. The clinical picture consists essentially in a persistant pain in the hernia, following a benign trauma to the abdomen, that simulates a false strangulation and a peritonitis. The best diagnostic procedure is a median laparotomy with or without a herniotomy both allowing treatment of the lesions, of which the most common is a rupture of the small bowel on the side opposite to the mesenteron. This complication of a hernia, usually inguinal, often goes unrecognized because it is rare and has therefore a poor prognosis.
本文介绍了一个个案及文献综述。临床表现主要为腹部受到良性创伤后,疝区持续疼痛,类似假性绞窄和腹膜炎。最佳诊断方法是正中剖腹术,可同时或不同时进行疝修补术,二者均可对病变进行治疗,其中最常见的病变是小肠在肠系膜对侧破裂。这种疝的并发症通常为腹股沟疝,由于其罕见,常常未被识别,因此预后较差。