关键词: hemodialysis intestinal necrosis obturator hernia

Mesh : Female Humans Aged Middle Aged Hernia, Obturator / complications diagnostic imaging surgery Intestinal Obstruction / etiology Tomography, X-Ray Computed / adverse effects Abdominal Pain / etiology Renal Dialysis / adverse effects

来  源:   DOI:10.2169/internalmedicine.1388-22   PDF(Pubmed)

Abstract:
Obturator hernia is a rare condition that commonly affects frail older women. A 54-year-old woman presented to our hospital with left hip joint pain. She had suffered a left pubic bone fracture and commenced maintenance hemodialysis. Pelvic computed tomography (CT) showed an incarcerated small intestine through the left obturator foramen, while abdominal CT showed marked intestinal dilatation. She underwent emergency laparotomy, and the incarcerated small intestine was found to be necrotic. Partial small intestinal resection and bilateral obturator hernioplasty were performed. Because obturator hernia is a potentially fatal condition, early detection and treatment are important.
摘要:
闭孔疝是一种罕见的疾病,通常会影响虚弱的老年妇女。一名54岁的妇女因左髋关节疼痛来到我们医院。她遭受了左耻骨骨折并开始维持性血液透析。盆腔计算机断层扫描(CT)显示通过左闭孔的小肠嵌顿,而腹部CT显示明显的肠道扩张。她做了紧急剖腹手术,嵌顿的小肠被发现坏死。行部分小肠切除术和双侧闭孔疝修补术。因为闭孔疝是一种潜在的致命疾病,早期发现和治疗很重要。
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