背景:右侧膈疝是成人肠梗阻和绞窄的一种非常罕见的原因,这通常是一种先天性疾病。
方法:A-55岁男性到我院急诊科就诊,主诉腹痛,恶心,呕吐,腹胀,发烧,便秘4天.在体检时,病人是原纤维,有毒,心动过速,和低血压。病人腹部扩张,肠鸣音夸张,腹部压痛,守卫,和刚性主要在右上象限。打击乐器有一定程度的节奏。直肠指检正常,没有大便受累的迹象。
结论:膈疝患者常表现为内疝,监禁,阻塞,绞窄引起的缺血,或穿孔。患者可能出现呼吸道症状,如呼吸困难,胸部没有呼吸的声音,或腹部症状,如腹痛和肠扩张。
结论:膈疝,这是一种罕见的情况,应包括在小肠梗阻的鉴别诊断中,以排除并发症。
BACKGROUND: Right-side diaphragmatic hernia is a very rare cause of bowel obstruction and strangulation in adults, which is usually a congenital disorder.
METHODS: A- 55-year-old male presented to the emergency department of our hospital complaining of abdominal pain, nausea, vomiting, abdominal distension, fever, and constipation for 4 days. On physical examination, the patient was fibril, toxic, tachycardic, and hypotensive. The patient had a distended abdomen with exaggerated bowel sounds, abdominal tenderness, guarding, and rigidity mostly in the right upper quadrant. There were some degrees of tempanicity on percussion. The digital rectal examination was normal with no evidence of impacted stool.
CONCLUSIONS: Patients with a diaphragmatic hernia frequently present with manifestations of internal herniation, incarceration, obstruction, ischemia from strangulation, or perforation. The patient may present with respiratory symptoms such as dyspnea, absence of breath sounds in the thorax, or abdominal symptoms such as abdominal pain and bowel dilatation.
CONCLUSIONS: Diaphragmatic hernia, which is a rare case, should be included in the differential diagnosis of small bowel obstruction to preclude complications.