کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2059328 1076259 2012 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Une cause rare d'occlusion aiguë du grêle : la hernie de Spiegel étranglée. Description d'un cas et revue de la littérature
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی بیوشیمی، ژنتیک و زیست شناسی مولکولی (عمومی)
پیش نمایش صفحه اول مقاله
Une cause rare d'occlusion aiguë du grêle : la hernie de Spiegel étranglée. Description d'un cas et revue de la littérature
چکیده انگلیسی
A 73-year-old man, who previously underwent laparotomy for pancreatic adenocarcinoma, was admitted in the emergency room for acute small bowel obstruction related to a strangulated Spieghelian hernia. On CT-scan, the hernia was located at the lateral border of the right rectus abdominis muscle below the external oblique muscle, among the transverse abdominis and internal oblique muscles layers. Spieghelian hernias (or hernia of the linea semilunaris) often occur at the level of a weak spot where the linea accurata crosses the linea semilunaris, when the posterior layer of the rectus gain changes its conformation. This weak spot is limited underneath by the inferior epigastric artery. When examining a patient with a previous history of laparotomy presenting with acute small bowel obstruction, it is mandatory to exclude a possible strangulated Spieghelian hernia before concluding to postoperative intra-abdominal adhesions. Spieghelian hernias are asymptomatic in approximately 90% of cases but entail a high risk of strangulation. Consequently, herniorrhaphy through a local approach route or open/laparoscopic mesh repair is always required.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Morphologie - Volume 96, Issue 312, March 2012, Pages 12-15
نویسندگان
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