原发性大网膜异位的个案报道  

Case report: primary ectopy of greater omentum

作　　者：程艺云[1] 徐剑文[1] 

机构地区：[1]福建医科大学基础医学院人体解剖与组织胚胎学系,福建福州350108

出　　处：《中国医药科学》2014年第1期168-170,共3页China Medicine And Pharmacy

基　　金：福建医科大学学科带头人培养基金(2009-1100050412)

摘　　要：目的鉴别原发性大网膜异位与病理性大网膜移位,丰富临床资料。方法对一具福尔马林处理后的男性尸体进行解剖时,见其腹腔内大网膜未按正常规律下垂至小肠前方,而是上行覆盖至肝面。结合相关文献,通过与两种病理性的大网膜移位对比,因该大网膜光滑、平整,未见包块、粘连,故排除大网膜病变可能,考虑为原发性大网膜异位。再针对其原发性的特点,从成因、诊断、影响等方面进行分析,从而对该罕见变异做出比较全面的描述。结果确诊为原发性大网膜异位,并讨论了其成因、诊断及影响。结论原发性大网膜异位可通过CT诊出,伴有肝胆病变或行肝胆手术时须引起重视。Objective Identify the difference between the primary ectopy of greater omentum and the pathological shift of greater omentum to enrich the clinical data. Methods When we dissected a cadaver disposed with formalin, we saw the greater omentum of the cadaver moved upward and covered the liver instead of drooping to the front of the intestine. Combining the relevant literature and comparing with two kinds of pathological shift, we excluded the possibility of the disease of greater omentum because which was smooth, no mass and no adhesion. So the variation was considered as a primary ectopy. Then we analyzed the cause,diagnosis and influence of it basing on its feature of primary so as to make a comprehensive description of this variation. Results The case was defined as the primary ectopy of greater omentum and the cause,diagnosis and influence of it was discussed in the article. Conclusion This variation can be diagnosed by CT. It should be pay more attention when the disease or surgery of liver or gallbladder is associated with it.

关 键 词：大网膜 异位 原发性 

分 类 号：R714.2[医药卫生—妇产科学]