镰状韧带疝是一种非常罕见的内疝,手术前难以诊断。我们报告了一例镰状韧带疝,具有特定的症状和图像表现,这导致了准确的诊断和随后的腹腔镜手术。一名没有既往病史的15岁青春期男孩表现出上腹痛,并被转诊到我们医院。仰卧位腹痛强烈,膝胸位缓解。对比增强计算机断层扫描显示圆形韧带被认为是索状结构,小肠的肠系膜位于韧带的颅腹侧。他被诊断出患有镰状韧带疝,并进行了紧急腹腔镜手术。小肠穿过镰状韧带;然而,没有缺血的迹象,并且不需要肠切除术。错位的肠道被重新定位,切除镰状韧带以防止疝气复发。在这种情况下,特定的腹部症状和计算机断层扫描图像有助于做出正确的诊断。
Falciform ligament hernia is a very rare internal hernia and is difficult to diagnose before surgery. We report a case of falciform ligament hernia with a specific symptom and image findings, which led to an accurate diagnosis and subsequent laparoscopic surgery. A 15-year-old adolescent boy with no previous medical history showed epigastric pain and was referred to our hospital. The abdominal pain was strong in the supine position and was alleviated in the knee-chest position. Contrast-enhanced computed tomography showed that the round ligament was recognized as a cord-like structure, and the mesentery of the small intestine was located at the cranioventral side of the ligament. He was diagnosed as having falciform ligament hernia, and emergency laparoscopic surgery was performed. The small intestine passed through the falciform ligament; however, it showed no sign of ischemia, and bowel resection was not required. The malposed intestine was repositioned, and the falciform ligament was cut to prevent hernia recurrence. The specific abdominal symptom and computed tomography image finding were useful to make the correct diagnosis in this case.