首页|难复性腹股沟斜疝导致继发性大网膜扭转坏死1例

难复性腹股沟斜疝导致继发性大网膜扭转坏死1例

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目的 增加对大网膜扭转坏死的认识,提高对腹股沟疝择期手术治疗的重视程度.方法 回顾性分析宜宾市第一人民医院2023年1月收治1例难复性腹股沟斜疝导致继发性大网膜扭转坏死的罕见急腹症.结果 以"下腹痛"为首要表现就诊,完善腹部CT检查后行开腹探查手术,术中行疝内容物松解复位、坏死大网膜切除,并行传统疝修补,术后恢复良好出院,随访6个月腹股沟疝未见复发.结论 大网膜扭转坏死是一种罕见急腹症,可继发于腹股沟疝;成人腹股沟疝一经确诊,建议积极行手术治疗.
Secondary torsion and necrosis of the greater omentum caused by refractory inguinal hernia:a report of one case
Objective To increase the awareness of torsion and necrosis of the greater omentum,and to increase the recognition of elective surgery for inguinal hernia.Methods Data of a rare case of acute abdominal disease,torsion and necrosis of the greater omen-tum secondary to refractory inguinal hernia,who was admitted to The First People's Hospital of Yibin in January 2023,was retrospec-tively analyzed.Results The patient seeked medical treatment with"lower abdominal pain"as the primary manifestation.After taking the abdominal CT examination,the patient underwent exploratory laparotomy.During the operation,the hernia contents were loosened and repositioned,necrotic greater omentum removed,and conventional hernia repair performed.The patient recovered after the opera-tion and was discharged from hospital.No recurrence of inguinal hernia was found during the follow-up of 6 months.Conclusions Tor-sion and necrosis of the greater omentum is a rare acute abdominal disease,which can be secondary to inguinal hernia.Once the diag-nosis of adult inguinal hernia is confirmed,it is recommended to perform surgical treatment immediately.

Hernia,inguinalRare acute abdomenTorsion necrosis of the greater omentum

韩尚志、徐其银

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宜宾市第一人民医院胃肠外科,四川 宜宾 644000

疝,腹股沟 罕见急腹症 大网膜扭转坏死

2025

安徽医药
安徽省药学会

安徽医药

影响因子:1.941
ISSN:1009-6469
年,卷(期):2025.29(2)