| 韩尚志,徐其银.难复性腹股沟斜疝导致继发性大网膜扭转坏死 1例[J].安徽医药,2025,29(2):393-395. |
| 难复性腹股沟斜疝导致继发性大网膜扭转坏死 1例 |
| Secondary torsion and necrosis of the greater omentum caused by refractory inguinal hernia: a report of one case |
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| DOI：10.3969/j.issn.1009-6469.2025.02.037 |
| 中文关键词: 疝，腹股沟 罕见急腹症 大网膜扭转坏死 |
| 英文关键词: Hernia,inguinal Rare acute abdomen Torsion necrosis of the greater omentum |
| 基金项目:宜宾市卫生健康委员会项目( 2022YW002) |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| Objective To increase the awareness of torsion and necrosis of the greater omentum, and to increase the recognition ofelective 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 takingthe abdominal CT examination, the patient underwent exploratory laparotomy. During the operation, the hernia contents were loosenedand 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. |
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