一个大规模的滑动 inguinal Hernia 包含整个右结肠与孔:一个罕见的手术挑战
Marwa S Ahmed1, Tawfiq Hamati2, Farooq Dar2
1General and Colorectal Surgery, Barnsley Hospital NHS Foundation Trust, Barnsley, GBR.
Cureus
|October 29, 2025
概括
一个大的 inguinoscrotal 穿透了结肠,导致腹和肠道窒息. 对于这种腹壁缺陷,需要进行紧急手术,包括右侧血栓切除和液排水.
科学领域:
- 一般外科 整体外科
- 腹壁外科手术 腹壁外科手术
- 胃肠道手术 胃肠道手术
背景情况:
- 腹壁是导致突起的缺陷, inguinal 是最常见的.
- 一名75岁的男性出现了长达三年的巨大的,不可缩小的右侧 inguinoscrotal .
- 患者经历了急性疼痛,胀和发红,表明潜在的并发症.
研究的目的:
- 报告一个罕见的情况,一个穿孔的上升结肠在一个大的 inguinoscrotal .
- 要突出与复杂的腹壁带相关的诊断和管理挑战.
主要方法:
- 腹部和骨盆的紧急计算机断层扫描 (CTAP) 用于诊断.
- 探索性腹腔切除术用于外科评估和干预.
- 外科手术包括右半角切除术与骨髓切除术,液排水和水切除术.
主要成果:
- CTAP揭示了穿孔的上升结肠和囊在囊中的.
- 拉巴切除术证实了窒息带有缺血性变化的终端骨,盲目,尾,上升结肠和.
- 该患者经历了广泛的手术修复,并以轻微的手术部位感染恢复.
结论:
- 复杂的腹壁,特别是 inguinoscrotal 类型,可以导致严重的腹内并发症,如肠道穿孔.
- 通过成像及时诊断和积极的手术管理对于杀的良好结果至关重要.
- 这一案例强调了对扩大或症状的及时手术评估的重要性.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
438
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
438
Large Intestine
4.6K
The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
4.6K
Esophageal Perforation-II: Clinical Manifestations and Management
490
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
490
Inflammatory Bowel Disease I: Ulcerative Colitis
882
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
882
Appendicitis-I: Introduction
2.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.1K
Esophageal Perforation-I: Introduction
406
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
406


