Diagnosis and treatment of paraduodenal hernia: a report of 16 cases / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 490-492, 2005.
Artículo
en Chino
| WPRIM
| ID: wpr-345151
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the experience of diagnosis and treatment for paraduodenal hernia (PDH).</p><p><b>METHODS</b>The clinical data of 16 cases with PDH surgically treated from 1962 to 2003 were analyzed retrospectively.</p><p><b>RESULTS</b>The average age of the patients was 36 years old. There were 13 cases with left PDH (Landzerts hernia) and 3 cases with right PDH (Waldeyer's hernia). Ten patients usually had no symptoms, while acute abdominal pain occurred after full food in 3 case and after vigorous movement in 13 cases respectively. X-ray revealed complete or incomplete intestinal obstruction in 12 cases, while ultrasonography and CT revealed dilated cystic jejunal loop between the pancreas and the stomach in 6 cases. Fourteen cases (87.5%) were misdiagnosed before operation. The hospital stay ranged from 10 to 13 days. All patients were followed up from 2 to 4 years without recurrence.</p><p><b>CONCLUSION</b>With high misdiagnostic rate, it is the key to perform exploratory operation for suspicious PDH.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cirugía General
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Diagnóstico
/
Enfermedades Duodenales
/
Herniorrafia
/
Hernia
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Adolescente
/
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Gastrointestinal Surgery
Año:
2005
Tipo del documento:
Artículo
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