Nardi M, Perrone A, D'Amico G, Basti M, Pitrelli N, Casciani E, Cellini G
Divisione di Chirurgia Generale, Ospedale S. Massimo, Penne, Pescara.
Minerva Chir. 1994 Sep;49(9):849-51.
The authors describe two cases of recent observed internal-hernia, regarding in the first case the right para-duodenal dimple, and in the second a mesenteric breach. They report the clinic presentation and the diagnostic and therapeutic approach compared with the data deriving from the international literature. A complete clinical classification of the internal-hernia is illustrated showing the different clinical signs. The respective symptomatology that in the initial phases of this pathology is not too evident, shows that the internal hernia should always be held in due consideration at the moment of diagnosis because the consequent mortality due to complications such as intestinal-gangrene is rather high.
作者描述了两例近期观察到的内疝病例,第一例涉及右十二指肠旁隐窝,第二例为肠系膜破裂。他们报告了临床表现以及与国际文献数据相比的诊断和治疗方法。文中展示了内疝的完整临床分类,呈现出不同的临床体征。这种病理状态在初始阶段症状不太明显,各自的症状学表明,在诊断时应始终充分考虑内疝,因为诸如肠坏疽等并发症导致的死亡率相当高。