- 期刊
- OpenAccess
Concomitant Obturator Hernia and Midgut Volvulus in an Elderly Woman
並列摘要
Introduction: Obturator hernia is a rare hernia of the pelvic floor and accounts for less than 1% of all intra-abdominal hernias. Midgut volvulus may be primary without an associated underlying cause, or secondary to a congenital or acquired condition. Case Report: A 94-yearold female patient suffered from severe and diffuse abdominal cramping pain and no stool passage for 2 days and vomiting for a day. Blood analysis revealed leukocytosis. A history of constipation and chronic obstructive pulmonary disease was noted and no intra-abdominal operation was performed in the past. Contrastenhanced computed tomography scan showed distention of the small bowel loop, a whirl sign of the superior mesenteric artery and vein, and a short segment of distal ileum incarcerated between the right external obturator and pectineus muscles. Computed tomography scan of concomitant right obturator hernia and midgut volvulus was made, which was confirmed by surgical exploration. Conclusion: Concomitant obturator hernia and midgut volvulus in an elderly woman is rare. Careful and thorough survey of the whole abdomen by using computed tomography prompts emergent operation to reduce the mortality and morbidity of the patient.
延伸閱讀
- Wang, Y. L., Lu, J. S., Chao, H. M., Hsi, S. C., & Chang, J. L. (2008). Cecal Volvulus in Elderly : A Case Report. 南臺灣醫學雜誌, 4(1), 23-26. https://doi.org/10.6726/MJST.200803_4(1).0004
- Cheng, Y. C., Huang, T. L., Chou, F. F., & Wang, S. H. (2006). Primary Small Bowel Volvulus in an Adult: Report of a Case. Formosan Journal of Surgery, 39(2), 95-99. https://doi.org/10.29833/FJS.200604.0007
- Teh, S. H., Chen, A. C., Chen, Y. S., Hung, C. H., Tok, T. S., & Tsai, C. (1999). Complicated Meconium Ileus, Type II Jejunoileal Atresia with Volvulus. Acta Paediatrica Sinica, 40(s_1), 157-157. https://doi.org/10.7097/APS.199904.0105
- 黃活、錢本文、黃國茂（1990）。Small Intestinal Diverticulum and Small Bowel Volvulus。當代醫學，(198)，348-351。https://doi.org/10.29941/MT.199004.0022
- George, D., Apostolos, P. V., Athanasios, P., Emmanuel, L. E., Nikolaos, K. E., Nikolaos, P., Charalampos, S., George, K., & Andreas, M. J. (2010). Struggling with a Gastric Volvulus Secondary to a Type IV Hiatal Hernia. Case Reports in Medicine, 2010(), 186-188-047. https://doi.org/10.1155/2010/257497