双侧腰椎疝:病例报告

IF 0.9 4区 医学 Q3 SURGERY Annali italiani di chirurgia Pub Date : 2024-01-01 DOI:10.62713/aic.3268
Furkan Karahan, Ahmet Atasever, Arif Atay, Osman Nuri Dilek
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引用次数: 0

摘要

腰椎疝气比较少见,主要分为先天性和后天性两类。后天性疝气有些是自发性的,有些则是继发性因素造成的,如外伤和手术。双侧原发性腰疝则更为罕见。腹部计算机断层扫描是鉴别诊断双侧原发性腰疝的金标准。治疗方案包括通过开腹或腹腔镜方法闭合缺损,同时使用合适的网片提供支撑。然而,目前还没有一种手术方法被确定为降低复发风险的标准程序。我们介绍了一例 73 岁女性患者的病例,她主诉左腰部肿胀和腹痛。患者表现为双侧腰椎疝。左侧疝囊内有腹腔内脏器。计算机断层扫描证实了这一诊断。在切除疝囊后,用网片缝合了左侧的缺损。在本研究中,我们结合现有文献介绍了一例双侧腰椎疝。本研究的目的是帮助临床医生准确诊断和妥善处理这一病症。
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Bilateral Lumbar Hernia: A Case Report.

Lumbar hernias are a relatively uncommon occurrence, with two main categories: congenital and acquired. Some acquired hernias are spontaneous, while others are the result of secondary factors such as trauma and surgery. Bilateral primary lumbar hernia is a much rarer occurrence. Abdominal computed tomography is the gold standard for differential diagnosis of bilateral primary lumbar hernia. The treatment plan entails the closure of the defect through either open or laparoscopic methods, accompanied by the use of a suitable mesh to provide support. Nevertheless, no surgical method has yet been identified as the standard procedure for reducing the risk of relapse. We present the case of a 73-year-old female patient who presented with complaints of swelling in the left lumbar region and abdominal pain. The patient exhibited bilateral lumbar hernia. The hernial sac on the left side contained intra-abdominal organs. The diagnosis was confirmed by computed tomography. The defect on the left was subsequently closed with mesh following the dissection of the hernia sac. In this study, we present a case of bilateral lumbar hernia in the context of existing literature. The objective of this study was to assist clinicians in accurately diagnosing and appropriately managing this condition.

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来源期刊
CiteScore
0.90
自引率
12.50%
发文量
116
审稿时长
>12 weeks
期刊介绍: Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.
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