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題 名 | Right Paraduodenal Hernia with Intestinal Obstruction (Report of A Case)=右側十二指腸旁疝氣之腸阻塞 |
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作 者 | 王永輝; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 12:4 1979.12[民68.12] |
頁 次 | 頁332-337 |
關鍵詞 | 右側十二指腸旁疝氣; 腸阻塞; |
語 文 | 英文(English) |
中文摘要 | Internal hemiation 病例相當少見,在1975年,馬偕醫院外科曾作五年間的統計,因為阻塞而開刀的病人有254人,其中internal herniation有9人約佔3.5%,根據文獻,此病約占屍體解剖病人的0.2%至0.9%。馬偕醫院在最近十年中經開刀證實為internal herniation的共有14例,以胃手術後發生者為最多,而十二指腸旁疝氣僅有一例。對於十二指腸旁疝氣在文獻上所載亦多為單一病例或少數幾個病例之報告。其發生的原因有先天性及後天性兩種說法之爭論。最主要的是Waldeyer氏腸系膜壁窩之右側十二指腸旁疝氣及Landzert氏窩之左側十二指腸旁疝氣。 |
英文摘要 | A rare case of right paraduodenal hernia with intestinal obstruction was reported. In the past 10 years there were 14 cases of internal hernia with intestinal obstruction necessitating surgery at Mackay Memorial Hospital. Only one out of the 14 cases was right paraduodenal hernia. Theories of hernial development are controversial. All paraduodenal hernias should be considered potentially lethal and capable of causing strangulation obstruction. Preoperative diagnosis is difficult. In patients with symptoms of intestinal obstruction particularly intermittent, elastic tumor with resonance on percussion and gurgling sound on auscultation, the diagnosis should be considered. Barium meal study and selective angiography are of some help for the preopeative diagnosis. In the case of acute intestinal obstruction emergency surgery is alway necessary. |
本系統中英文摘要資訊取自各篇刊載內容。