继发于结肠旋转不良的腹内疝十二指肠梗阻一例

Journal of Clinical Surgery(2019)

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Abstract
病人,女,63岁.因阵发性腹痛伴恶心、呕吐、停止排气排便13天于2019年1月17日入院.体格检查:神志清楚,痛苦面容.腹平坦,可见胃形,未见肠形及蠕动波,未见腹壁静脉曲张.腹软,中上腹部压痛,无肌紧张及反跳痛,墨菲氏征阴性,肝脾肋下未触及,未触及包块,移动性浊音阴性,肠鸣音正常.肛周、外生殖器未见异常.腹部CT平扫加增强示胃及十二指肠明显扩张,肝胃韧带之间存在异位肠管(图1).
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