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Войти в исследования Acta chirurgica Belgica · 2006
Paraduodenal hernia evoking intermittent abdominal pain.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Meeussen C, Huyghe M, Deckers E
Аннотация
PURPOSE: Description of a very rare case of internal abdominal hernia, namely herniation of the proximal jejunum in the Landzert fossa, through a hole in the mesocolon transversum.
MATERIAL AND METHODS: Based on preoperative history, clinical state and radiological findings, the diagnosis of internal hernia was strongly suspected.
RESULTS: Suspected diagnosis was confirmed during laparotomy. After reduction of the jejunum and closure of the hernia orifice, the patient recovered promptly.
CONCLUSION: The diagnosis of internal herniation should always be considered in every patient who presents with an acute abdomen, signs of (sub)obstruction and non-typical history. The most important diagnostic tool is computer tomography, that is accurate in 77%.
MATERIAL AND METHODS: Based on preoperative history, clinical state and radiological findings, the diagnosis of internal hernia was strongly suspected.
RESULTS: Suspected diagnosis was confirmed during laparotomy. After reduction of the jejunum and closure of the hernia orifice, the patient recovered promptly.
CONCLUSION: The diagnosis of internal herniation should always be considered in every patient who presents with an acute abdomen, signs of (sub)obstruction and non-typical history. The most important diagnostic tool is computer tomography, that is accurate in 77%.