Abstract：
Lesser omental hernias are rare; however, they should be considered in symptomatic bowel obstruction subsequent to a subtotal or total colectomy. This report describes two cases of recurrent bowel obstruction secondary to lesser omental hernias after laparoscopic total colectomies for ulcerative colitis. Initially, these patients had been treated conservatively; however, due to symptom recurrence, surgical intervention was decided on. In both cases, laparoscopic surgery revealed lesser omental hernias. The small bowel, which had entered from the dorsal aspect of the stomach, was returned to the original position, and the lesser omentum was closed. The patients were discharged uneventfully, with no recurrent bowel obstruction during the follow-up period. These cases highlight the importance of including internal hernias in the differential diagnosis relative to recurrent bowel obstruction, in patient subpopulations with a prior history of a subtotal or total colectomy. Confirmation by computed tomography is preferable.
摘要：
小网膜疝很少见；然而，在结肠次全或全切除术后出现有症状的肠梗阻时,应考虑这些症状.本报告描述了腹腔镜全结肠切除术治疗溃疡性结肠炎后继发于小网膜疝的2例复发性肠梗阻。最初，这些患者接受了保守治疗；然而，由于症状复发，决定进行手术干预。在这两种情况下，腹腔镜手术显示小网膜疝。小肠，从胃的背侧进入，回到原来的位置,小网膜关闭了。病人顺利出院,随访期间无复发性肠梗阻。这些病例突出了在与复发性肠梗阻的鉴别诊断中包括内疝的重要性。在既往有结肠次全或全结肠切除术史的患者亚群中。最好通过计算机断层扫描进行确认。
