Abdominal separation in an adult male patient with acute abdominal pain  

作　　者：Liu, Bao-Lin Chen, Yang Liu, Shi-Qing Zhang, Xiao-Bo Cui, Dong-Xu Dai, Xian-Wei 

机构地区：[1]China Med Univ, Shengjing Hosp, Dept Surg, Oncol & Organ Transplatat Div, Shenyang 110004, Liaoning Prov, Peoples R China

出　　处：《World Journal of Gastroenterology》2010年第26期3343-3346,共4页世界胃肠病学杂志（英文版）

摘　　要：We report a male patient with prolonged post-prandial abdominal distension and a sudden onset of epigastric pain initially diagnosed as acute abdomen. The patient had no history of surgery. Physical examination revealed peritonitis and abdominal computed tomography scan showed upper abdominal mesentery intorsion. The patient then underwent surgical intervention. It was found that the descending mesocolon dorsal root was connected to the ascending colon and formed a membrane encapsulating the small intestine. The membrane also formed an orifice in the ileal pars caeca, from which a 30 cm herniated ileum formed a "C"-shaped loop which was strangulated by the orifice. An abdominal separation was diagnosed after surgery. We liberated the membranous peritoneum which incarcerated the intestinal canal from the root ofileocecal junction to Treitz ligament, and reduced the small intestinal malrotation. The patient had an uneventful recovery after opera-tion with his abdominal distention disappeared during the follow-up. Abdominal separation is a rare situation, which may be related with embryo development. Surgery is a choice of treatment for it.We report a male patient with prolonged post-prandial abdominal distension and a sudden onset of epigastric pain initially diagnosed as acute abdomen. The patient had no history of surgery. Physical examination revealed peritonitis and abdominal computed tomography scan showed upper abdominal mesentery intorsion. The patient then underwent surgical intervention. It was found that the descending mesocolon dorsal root was connected to the ascending colon and formed a membrane encapsulating the small intestine...

关 键 词：Abdominal separation Abdominal pain Internal hernia MALROTATION Acute abdomen 

分 类 号：R656.1[医药卫生—急诊医学]