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闭孔疝:一种难以捉摸的诊断。

Obturator hernia: an elusive diagnosis.

作者信息

Kozlowski J M, Beal J M

出版信息

Arch Surg. 1977 Aug;112(8):1001-2. doi: 10.1001/archsurg.1977.01370080099017.

DOI:10.1001/archsurg.1977.01370080099017
PMID:880032
Abstract

Obturator hernia is an uncommon problem that occurs predominantly in elderly, debilitated women. The diagnosis should be suspected in such patients who have evidence of small bowel obstruction, often initially intermittent, and who complain of pain along the anteromedial aspect of the thigh. We present experience with three patients that characterizes the difficulties in diagnosis and treatment. Most patients require resection of the incarcerated bowel. Mortality is variable and is related to the condition of the patient.

摘要

闭孔疝是一种罕见疾病,主要发生于老年体弱女性。对于有小肠梗阻证据(通常起初为间歇性)且主诉大腿前内侧疼痛的此类患者,应怀疑该病的诊断。我们介绍了三例患者的诊治经历,以说明诊断和治疗中的困难。大多数患者需要切除嵌顿肠段。死亡率各不相同,且与患者状况有关。

相似文献

1
Obturator hernia: an elusive diagnosis.闭孔疝:一种难以捉摸的诊断。
Arch Surg. 1977 Aug;112(8):1001-2. doi: 10.1001/archsurg.1977.01370080099017.
2
Coexisting ipsilateral right femoral hernia and incarcerated obturator hernia.并存的同侧右股疝和嵌顿性闭孔疝。
BMJ Case Rep. 2015 Feb 25;2015:bcr2014208361. doi: 10.1136/bcr-2014-208361.
3
Strangulated obturator hernia: can mortality be reduced?绞窄性闭孔疝:死亡率能降低吗?
South Med J. 1988 Sep;81(9):1117-20. doi: 10.1097/00007611-198809000-00013.
4
Obturator hernia: a difficult diagnosis.闭孔疝:一种难以诊断的疾病。
South Med J. 1990 Jun;83(6):709-12. doi: 10.1097/00007611-199006000-00031.
5
[Obturator hernia, an equivocal diagnosis].
Helv Chir Acta. 1980 Feb;46(5-6):747-50.
6
Obturator hernia.闭孔疝
Surg Gynecol Obstet. 1988 Sep;167(3):217-22.
7
Obturator hernia: a report of eight cases.闭孔疝:8例报告
Am Surg. 1993 Nov;59(11):709-11.
8
[Incarcerated obturator hernia in a 95-year-old woman].
Z Arztl Fortbild (Jena). 1975 Jun 1;69(11):603-4.
9
Richter type of incarcerated obturator hernia: misleading all the way.里氏型闭孔嵌顿疝:一路误导。
Acta Clin Croat. 2012 Sep;51(3):431-3.
10
Strangulated obturator hernia: still deadly.绞窄性闭孔疝:依然致命。
South Med J. 2001 Jan;94(1):81-3.

引用本文的文献

1
A rare case of left-sided obturator hernia diagnosed by computed tomography.一例通过计算机断层扫描诊断出的左侧闭孔疝罕见病例。
Clin Case Rep. 2023 May 9;11(5):e7297. doi: 10.1002/ccr3.7297. eCollection 2023 May.
2
Laparoscopic repair for a previously unreported form of ventral hernia on the right iliac fossa in an elderly emaciated woman.为一名老年消瘦女性右髂窝处一种此前未报道过的腹疝形式进行腹腔镜修补术。
Hernia. 2015 Oct;19(5):841-3. doi: 10.1007/s10029-013-1180-x. Epub 2013 Nov 12.
3
Transabdominal preperitoneal repair for obturator hernia.
经腹腹膜前修补术治疗闭孔疝。
World J Surg. 2011 Oct;35(10):2323-7. doi: 10.1007/s00268-011-1211-7.
4
Critical sites of entrapment of the posterior division of the obturator nerve: anatomical considerations.闭孔神经后支卡压的关键部位:解剖学考量
J Can Chiropr Assoc. 2010 Mar;54(1):33-42.
5
Nerve entrapment syndromes as a cause of pain in the hip, groin and buttock.神经卡压综合征作为髋部、腹股沟和臀部疼痛的一个原因。
Sports Med. 1999 Apr;27(4):261-74. doi: 10.2165/00007256-199927040-00005.
6
Obturator hernia: an elusive diagnosis.闭孔疝:一种难以捉摸的诊断。
J R Soc Med. 1992 Aug;85(8):508.