嵌顿性食管旁疝内十二指肠溃疡穿孔的成功手术治疗

IF 0.4 4区医学 Q4 SURGERY Indian Journal of Surgery Pub Date : 2024-01-24 DOI:10.1007/s12262-024-04037-6

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引用次数: 0

摘要

摘要我们报告了一例手术治疗嵌顿性食管旁疝并伴有十二指肠穿孔的病例。患者是一名 65 岁的女性，患有超级病态肥胖症（体重指数 67）和严重营养不良（白蛋白 2.9），被发现患有巨大食管旁疝，胸腔和腹腔内有游离气体和积液。患者就诊时已出现脓毒性休克，被紧急送往手术室进行剖腹探查术。手术结果包括食管旁疝嵌顿，十二指肠后部穿孔 3 厘米。手术进行了远端胃切除术，并进行了比洛斯-II重建和胃切除术。患者最终恢复良好并出院回家。我们报告了一个罕见而危险的食管旁疝嵌顿并伴有十二指肠穿孔和脓毒性休克病例的积极治疗结果。

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Successful Surgical Management of a Perforated Duodenal Ulcer Within an Incarcerated Paraesophageal Hernia

Abstract

We present a case report of an incarcerated paraesophageal hernia containing a duodenal perforation managed with surgery. The patient is a 65-year-old female with super morbid obesity (BMI 67) and severe malnutrition (albumin 2.9) found to have a large paraesophageal hernia with free air and fluid in the chest and abdomen. On presentation, the patient was in septic shock, and she was taken emergently to the operating room for exploratory laparotomy. Operative findings included an incarcerated paraesophageal hernia with a 3-cm posterior duodenal perforation. A distal gastrectomy with Billroth-II reconstruction and gastropexy were performed. The patient ultimately recovered well and was discharged home. We report a positive outcome in a rare and dangerous case of an incarcerated paraesophageal hernia associated with duodenal perforation and septic shock.

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来源期刊

Indian Journal of Surgery SURGERY-

CiteScore

0.60

自引率

25.00%

发文量

412

审稿时长

6-12 weeks

期刊介绍： The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.