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| 題 名 | A Superior Lumbar Hernia Presenting as Constipation: Case Report=以便祕為症狀的上腰疝氣:病例報告 |
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| 作 者 | 謝清川; 詹益銀; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 33:6 民89.11-12 |
| 頁 次 | 頁287-290 |
| 分類號 | 416.2423 |
| 關鍵詞 | 便祕; 上腰疝氣; Superior lumbar hernia; Constipation; Descending colon; |
| 語 文 | 英文(English) |
| 中文摘要 | 自從有文獻記載以來,上腰血氣便相當罕見。因降結腸脫出左腰部導致便秘的病例更是稀少。 上腰店氣的解剖位置是上為第12根肋骨,前為內斜肌,後為棘肌所圍繞。我們報告一位76歲的婦人,以便秘為症狀的上腰疝氣。病人的左腰部,可以發現一個6x6公分柔軟,光滑表面且沒有壓痛的腫塊。此腫塊在站著或座著時,會突出左腰部,但躺著時則消失。在開刀前一個星期,病人便秘的症狀才出現。下消化道鋇劑檢查顯示一段降結腸脫出左腰部且導致狹窄。開刀中,在橫肌膜上發現一個5x6公分缺損,我們直接縫合此缺損,並以人工網 加強。此病人在術後門診追蹤達12個月,其便秘的症狀有顯著的改善。在正確的診斷下,上腰疝氣的治療並不困難。 |
| 英文摘要 | Superior lumbar space with descending colon herniation resulting in constipation is very rare. We herein report a case of superior lumbar hernia presenting as constipation in a 76-year-old woman. She presented with a 6X6-cm, soft, nontender, smooth-surfaced mass in the left flank. Constipation occurred more than 1 week before the operation. The barium enema study showed herniation of the descending colon. A 5x6-cm defect was found in the transversalis fascia during operation, which was repaired directly with interrupted 2-0 absorbable polydioxanone (PDS) reinforced with prosthetic non-absorbable mesh (Marlex). The postoperative course was uneventful after 12-month follow up. The treatment of superior lumbar hernia is not difficult after proper diagnosis. |
本系統中英文摘要資訊取自各篇刊載內容。