天津医药

天津医药 ›› 2019, Vol. 47 ›› Issue (3): 293-295.doi: 10.11958/20181421

• 临床研究 • 上一篇    下一篇

先天性横结肠系膜裂孔疝误诊为小肠肿瘤一例报告

徐兴，张涛，赵岩，郑志超   

  1. 中国医科大学肿瘤医院，辽宁省肿瘤医院胃外科（邮编110042）
  • 收稿日期:2018-09-18 修回日期:2018-12-19 出版日期:2019-03-15 发布日期:2019-04-24
  • 通讯作者: 郑志超 E-mail:drzhengzhichao1@163.com

A case analysis of congenital transverse mesenteric hernia misdiagnosed as small bowel tumor

XU Xing,ZHANG Tao,ZHAO Yan,ZHENG Zhi-chao   

  1. Department of Gastric Surgery, the Cancer Hospital of China Medical University,Liaoning Cancer Hospital, Shenyang 110042, China
  • Received:2018-09-18 Revised:2018-12-19 Published:2019-03-15 Online:2019-04-24

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摘要： 先天性横结肠系膜裂孔疝临床上少见，本文报告1例因出现肠梗阻症状收治入院，影像学检查示空肠起始部团块误诊为小肠肿瘤的患者，术中探查证实为先天性横结肠肠系膜裂孔疝。行疝囊松解，肠系膜裂孔修补术后，患者痊愈出院。本文旨在提高临床医生对该病的认识，减少误诊。

关键词: 疝, 腹, 肠系膜, 肠梗阻

Abstract: Congenital transverse mesenteric hernia is rare in clinical practice. The study reported one case of a patient who was misdiagnosed as small bowel tumor because of symptoms of abdominal distension and CT images showing a mass originated from the initial part of jejunum. However, intraoperative exploration confirmed congenital transverse mesenteric hernia. After the surgical intervention of releasing the hernia sac and repairing the mesenteric hiatus, the patient was discharged from hospital. This study aims to improve the understanding congenital transverse mesenteric hernia and reduce misdiagnosis.

Key words: hernia, ventral, mesentery, intestinal obstruction