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相關文獻
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頁籤選單縮合
題名 | Transmesenteric Hernia:Report of One Case=腸繫膜疝氣--病例報告 |
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作者 | 黃俊卿; 李宜恭; | 書刊名 | 臺灣急診醫學會醫誌 |
卷期 | 9:2 2007.06[民96.06] |
頁次 | 頁47-50 |
分類號 | 415.552 |
關鍵詞 | 內疝氣; 經腸繫膜疝氣; 腸繫膜缺損; 腸阻塞; Internal hernia; Transmesenteric hernia; Mesenteric defect; Intestinal obstruction; |
語文 | 英文(English) |
中文摘要 | 內疝氣為一種罕見的腸阻塞,它有多種型態,其中之一為經腸繫膜疝氣。其成因為腸繫膜缺損,在臨床上相當罕見。我們提出壹例屢患餐後腹痛、嘔吐及不明原因之腸阻塞的經腸繫膜疝氣案例。如延誤診斷內疝氣,很可能給病人帶來比預期高出許多的併發症及致死性。腹部電腦斷層為內疝氣的首選診斷工具。急診醫師應把內疝氣列入不明原因之腸阻塞的鑑別診斷。 |
英文摘要 | Internal hernia (IH) is a rare intestinal obstruction. One of the many forms of IH, the transmesenteric hernia, which is caused by a mesenteric defect, is a very rare clinical entity. Herein, we present a case of transmesenteric hernia with multiple episodes of postprandial abdominal pain, vomiting and unexplained ileus. A delay in diagnosis of IH may result in high expectation of morbidity and mortality. Abdominal computerized tomography (CT) is the most appropriate early diagnostic tool for this rare IH variant. Emergency physicians (EPs) should always include IH in the differential diagnosis of unexplained mechanical ileus. |
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