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題名 | Descending Mesocolon Defect Herniation: Case Report=降大腸繫膜缺損內疝:病例報告 |
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作者 | 劉秋聯; 鍾全生; 蕭桂芳; 楊文潮; 蘇秦明; Liew, Kiew-lian; Choong, Choun-seng; Shiau, Gung-fong; Yang, Wen-chaur; Su, Chin-ming; |
期刊 | 長庚醫學 |
出版日期 | 19990300 |
卷期 | 22:1 1999.03[民88.03] |
頁次 | 頁133-137 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 內疝; 降結腸繫膜缺損; 腸阻塞; Internal hernia; Descending mesocolon defect; Intestinal obstruction; |
中文摘要 | 內疝,指內臟器官在腹腔內發生疝氣病變。是一種少見且無典型臨床症狀可尋的 外科病症。其早期診斷、早期治療的構想對臨床醫師而言非常困難。單純內疝的預後很好。 我們報告一個 21 歲的中國青年患有降結腸繫膜缺損內疝,為一影像檢查呈現似一腹內腫塊 ;而理學檢查卻正常的病例。在電腦斷層掃瞄下,除了發現典型環狀影像外,有一巨大腫塊 介於胰臟尾部及胃部之間。他主要的臨床症狀是已有數年之久且間斷式的腹脹以及上腹疼痛 。理學檢查只是在上腹有些輕微觸痛。最後病人是以腹部電腦斷層掃瞄及剖腹探查術做出這 個內疝的診斷。內疝器官是部份的空腸,並且在臨床上造成部分小腸阻塞。 |
英文摘要 | Internal hernia, herniation of the internal organs through defects in the intraabdominal cavity, is rare. Due to the rarity of this pathology and lack of the specific symptoms and signs, early diagnosis and treatment are always stressful to the clinician and misdiagnoses may occur in the emergency room. The prognosis of a patient with uncomplicated internal hernia is excellent. We report a 21-year-old Chinese man with internal herniation through a defect of mesocolon, presented as an impalpable abdominal mass which was shown only on imaging studies. In addition to the typical whirlpool pattern, a huge solid mass between the pancreatic tail and stomach was found under computed tomography (CT) scan. The major symptoms were intermittent epigastralgia and abdominal fullness that had bothered him for years. Physical examination results showed only mild epigastric tenderness. Computed tomography scans and exploratory laparotomy of the abdomen played vital roles during diagnosis. The herniated organ was a portion of jejunum with partial small intestinal obstruction. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。