- 期刊
Laparoscopic Surgery for Obturator Hernia with Necrotic Bowel Incarceration: Report of a Case
腹腔鏡手術治療閉孔疝氣合併壞死性小腸箝頓：病例報告
摘要
閉孔疝氣相當罕見，其臨床診斷及治療仍是一大挑戰。大部分病人是因不明原因的小腸阻塞接受手術治療時於術中才發現。我們報告一個病例，因持續性小腸阻塞，最後經由電腦斷層攝影診斷爲箝頓性之閉孔疝氣。腹腔鏡手術下顯示箝頓處小腸已壞死及穿孔，經由腹腔鏡輔助下切除已壞死穿孔之小腸箝頓處並以腹腔鏡體內縫合的方式修補其閉孔疝氣。
關鍵字
無資料並列摘要
Obturator hernia is very rare. It remains a diagnostic and therapeutic challenge for clinicians. Most cases are diagnosed intraoperatively while treating small bowel obstruction of unknown cause. We present a patient with an incarcerated obturator hernia manifesting as a persistent small bowel obstruction that was finally diagnosed by computed tomography. Laparoscopic examination revealed an obturator hernia with necrotic and perforated bowel incarceration. We performed laparoscopy-assisted segmental bowel resection of the necrotic incarceration, then intracorporeal suture repair of the hernia defect successfully.
延伸閱讀
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