Katsudai Shirakabe, Naoya Ozawa, Yoshihiro Mochizuki, Ken Mizokami
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引用次数: 0
摘要
IV 型食管裂孔疝的特点是胃和相关器官（如脾脏、大肠、小肠和胰腺）通过食管裂孔疝出。这是一种相对罕见的食管裂孔疝，有时因胃嵌顿、胃内翻和绞窄而需要进行急诊手术。其中，小肠梗阻极为罕见，需要手术治疗。我们报告了一例因回肠嵌顿食管裂孔导致小肠梗阻而入院的 83 岁妇女的病例，该患者接受了紧急腹腔镜手术。
Small Bowel Obstruction Caused by Type IV Hiatal Hernia.
Type IV hiatal hernia of the esophagus is characterized by herniation of the stomach and associated organs, such as the spleen, large and small bowel, and pancreas, through the esophageal hiatus. It is a relatively rare form of hiatal hernia that sometimes requires emergency surgery due to gastric incarceration, volvulus, and strangulation. Of these, small bowel obstruction is extremely rare and requires surgery. We report the case of an 83-year-old woman who was admitted to the hospital for small bowel obstruction caused by an ileum that had incarcerated the esophageal hiatus; emergency laparoscopic surgery was performed.
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