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相關文獻
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頁籤選單縮合
題名 | Left Paraduodenal Hernia:An Unusual Cause of Small Bowel Obstruction;Report of a Case=左側十二指腸旁疝氣造成小腸阻塞的罕見病例:一病例報告 |
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作者 | 徐文秀; 徐先和; 許重得; 賴啟賢; 陳立民; | 書刊名 | 中華民國消化系醫學雜誌 |
卷期 | 14:2 1997.06[民86.06] |
頁次 | 頁27-32 |
分類號 | 416.243 |
關鍵詞 | 內疝氣; 十二指腸旁疝氣; 腸阻塞; Internal hernia; Paraduodenal hernia; Intestinal obstruction; |
語文 | 英文(English) |
中文摘要 | 內疝氣是一罕見的先天性疾病,其中以十二指腸旁疝氣較多見,約佔所有內疝氣的53%,當中又以左側十二指腸旁疝氣最常見。大多數的病例是在手術中或屍體解剖時被發現,正因這類疾病很少見,故在臨床上容易被忽略,腸子缺血壞死是一常見的併發症,一旦延誤診斷,若形成箝制性疝氣(strangulated hernia),則有相當高的死亡率(30-70%)。因內疝氣而產生腸阻塞的情形雖不常見,在沒有腹部開刀病史的患者,若出現腸阻塞的徵候或無法解釋的腹痛時,則要將內疝氣列入鑑別診斷。本篇報告的這個病例,在臨床及放射學表徵均有典型的發現,並且在術前就確定診斷。患者於接受手術後追蹤二年,身體狀況良好,沒有再產生任何症狀。 |
英文摘要 | Paraduodenal hernias are the most commom type of internal hernias. Left paraduodenal hernias are more predominant than right paraduodenal hernias, with a ratio of about 3:1. It is easy to miss ir delay diagnosis because of their rarity. Most paraduodenal hernias are found at laparotomy of autopsy with ganfrene being a commom complication. The mortality rateis very high (30-70﹪) when strangulated hernias is present. Although paraduodenal hernias presents an unusual cause of intestinal obstruction, it should be considered in any patient with acute intestinal obstruction or unexplained abdominal pain pain who does not have a history of intra-abdominal surgery. In this report, the characteristic findings of a left paraduodenal hernia on clinical presentation and radiographic studies were well demonstrated. The definite preoperative diagnosis was made by CT scans of abdomen and a small bowel barium series. The patient then received surgical teratment, and after an uneventful postoperative course he remains asymptomatic. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。