• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>World Journal of Gastroenterology >Strangulated hernia through a defect of the broad ligament and mobile cecum: a case report.
【24h】

Strangulated hernia through a defect of the broad ligament and mobile cecum: a case report.

机译：通过阔韧带和盲肠活动盲肠绞窄疝：一例病例报告。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We report a case of 28-year-old woman presenting with small bowel obstruction.She had neither prior surgery nor delivery.An upright abdominal radiograph revealed several air-fluid levels in the small bowel in the midabdomen and the pelvic cavity. Computed tomography demonstrated a dilated small bowel loop in the Douglas's fossa,but no definite diagnosis could be made. Supportive therapy with draining the intestinal fluid by a long intestinal tube did not result in improvement,which suggested the possibility of a strangulated hernia. Exploratory laparotomy revealed mobile cecum and a 20-cm length of the ileum herniated into a defect of the right broad ligament.As a gangrenous change was recognized in the incarcerated bowel, its resection was carried out,followed by end-to-end anastomosis and closure of the defects of the broad ligament. The postoperative course was uneventful. Intestinal obstruction is a very common cause for presentation to an emergency department,while internal hernia is a rare cause of obstruction. Among internal hernias, those through defects of the broad ligament are extremely rare. Defects of the broad ligament can be either congenital or secondary to surgery, pelvic inflammatory disease,and delivery trauma. In conclusion, we emphasize that hernia of the broad ligament should be added to the list of differential diagnosis for female patients presenting with an intestinal obstruction. Early diagnosis and surgical repair reduce morbidity and mortality from strangulation.
机译：我们报道了一例28岁的妇女，肠梗阻小，她既没有手术也没有分娩，腹部X线片显示腹部和盆腔小肠内有多个空气液位。计算机体层摄影术显示道格拉斯窝内有一个小的肠loop，但尚无确切诊断。通过长肠管引流肠液的支持疗法未见改善，提示疝气可能为绞窄。探查性剖腹探查发现盲肠活动，回肠长20厘米长，右宽韧带缺损。当在肠嵌顿肠中发现坏疽性改变后，将其切除，随后进行端到端吻合和封闭阔韧带的缺损。术后过程很顺利。肠梗阻是向急诊科就诊的非常普遍的原因，而内疝则是罕见的梗阻原因。在内部疝中，通过阔韧带缺损引起的疝极少见。宽韧带的缺陷可能是先天性的，也可能是继发于手术，盆腔炎和分娩创伤的继发性缺陷。总之，我们强调，对于患有肠梗阻的女性患者，应将阔韧带疝添加到鉴别诊断中。早期诊断和手术修复可减少绞窄的发病率和死亡率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号