PDF(Pubmed)
Abstract：
Internal hernias are rare, and a delayed diagnosis can lead to dangerous complications. A 75-year-old male with no previous surgical history presented with right upper abdominal pain and vomiting. On examination, he had guarding in the right hypochondrium with a positive Murphy\'s sign. However, ultrasonography of the gall bladder was normal with dilated bowel loops. Contrast-enhanced CT (CECT) revealed a falciform hernia with evidence of obstruction. Segmental resection of the gangrenous ileum was done with a double-barrel stoma. Later on, stoma reversal was also done with no complications.
摘要：
内部疝很罕见,延迟诊断会导致危险的并发症。一名75岁男性，既往无手术史，出现右上腹痛和呕吐。在检查中，他用墨菲的积极迹象守卫着右边的软骨病。然而,胆囊超声检查正常，肠loop扩张。对比增强CT（CECT）显示镰状疝有阻塞的证据。坏疽回肠的分段切除是用双管造口进行的。稍后，造口逆转也没有并发症.
