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Spontaneous Trans-greater Omental Internal Hernia with Gangrene of Small Bowel: A Rare Case Report

自發性經大網膜腹內疝氣併小腸壞死:罕見病例報告

摘要


Internal hernia is an uncommon type of hernia, trans-greater omental hernia is rarer subtype of internal hernia. The definite treatment of internal hernia is surgical reduction and resection of ischemic bowel. However, it was difficult to diagnose at early stage in patient with non-specific signs and symptoms. The more time we waste in diagnosis or wrong direction of treatment, the worse outcome will be to the patient with strangulated hernia. We present a case of strangulated trans-greater omental hernia with delay diagnosis but successful surgery with reduction and resection of gangrene of small bowel.

並列摘要


腹內疝氣是所有疝氣中較少見的診斷,經大網膜腹內疝氣又是其中更罕見者。真正能治療腹內疝氣的方法是儘早手術復位疝氣及切除已絞扼而缺血壞死的腸子。腹內疝氣在臨床上很難在早期就診斷,但如果在診斷或是錯誤治療的時間拖得太長,往往病人的預後就越差。本文個案雖然並非早期診斷,已有腸壞死,但後續及時手術介入,最後順利出院且無明顯後遺症。

並列關鍵字

腹內疝氣 經大網膜腹內疝氣 絞扼

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