Sato N, Miki T, Toyonaga T, Konomi H, Ishimitsu T, Nagafuchi K, Matsumoto S, Kawakami K
Department of Surgery, National Kokura Hospital, Fukuoka, Japan.
Nihon Geka Gakkai Zasshi. 1996 Sep;97(9):787-90.
A very rare case of small bowel strangulation caused by herniation of a loop of ileum through a defect in the falciform ligament is reported. A 27-year-old woman in the 38 weeks and 5 days of pregnancy was admitted with a sudden onset of epigastralgia. Emergency laparotomy with cesarean section was performed. A strangulated loop of ileum was found to pass through a defect in the falciform ligament. The ligamentum teres was divided to release the obstruction and the irreversible strangulated loop was resected. The strangulation was considered to have occurred because a loop of small bowel compressed by gestational uterus passed through a congenital defect in the falciform ligament.
报告了一例非常罕见的小肠绞窄病例，病因是一段回肠通过镰状韧带的缺损处疝出。一名怀孕38周零5天的27岁女性因突发上腹痛入院。进行了急诊剖腹术并剖宫产。发现一段绞窄的回肠通过镰状韧带的缺损处。切断圆韧带以解除梗阻，并切除了不可逆的绞窄肠袢。绞窄被认为是由于被妊娠子宫压迫的一段小肠通过镰状韧带的先天性缺损处所致。
