盲肠和升结肠经大网膜的Winslowi孔疝出。

Helvetica chirurgica acta Pub Date : 1994-12-01
A Villiger, M Fartab, M Mayer
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引用次数: 0

摘要

经温斯洛孔疝(HFW)极为罕见,主要累及回肠、盲肠或升结肠。这里提出了一个新的病例,以说明临床表现,这往往是谨慎的,和特征性的影像学特征,这可以导致明确的术前诊断。治疗方法为手术切除疝、切除不能存活的肠或固定盲肠和升结肠。通常认为没有必要关闭椎间孔。如果不延误诊断和治疗,这种疾病以前的高死亡率现在几乎为零。
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[Herniation of the cecum and ascending colon through the Winslowi foramen in the bursa omentalis].

Herniation through the foramen of Winslow (HFW) is exceedingly rare, the ileum, coecum or ascending colon is involved mostly. One new case is presented here to illustrate the clinical findings, which are often discreet, and the characteristical radiographic features, which can lead to definitive preoperative diagnosis. Treatment is by surgical reduction of the hernia, resection of non-viable bowel or fixation of coecum and ascending colon. Closure of the foramen is generally considered unnecessary. Without delay in diagnosis and treatment, the former high letality rate of the condition is now nearly zero.

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