伴阔韧带缺损的腹内小肠疝影像学体会  

Imaging experience of internal hernia of small intestine through broad ligament defect

作　　者：孙卓[1] 杨波[1] SUN Zhuo;YANG Bo(Tiedong Hospital of Longtan District,Jilin 132021,China)

机构地区：[1]吉林省吉林市龙潭区铁东医院,132021

出　　处：《中国实用医药》2022年第21期90-93,共4页China Practical Medicine

摘　　要：目的观察伴阔韧带缺损的腹内小肠疝影像学改变,总结其影像学特点,为准确诊断伴阔韧带缺损的腹内小肠疝提供依据。方法回顾性分析3例经手术证实伴阔韧带缺损的腹内小肠疝患者的临床资料及影像学改变。结果CT显示盆腔内绞窄性梗阻的“假瘤”影像改变,孤立扩张的小肠袢向背外侧压迫直肠及乙状结肠,向腹侧压迫子宫,提示绞窄性环可能从前向后通过阔韧带缺损疝出。结论伴阔韧带缺损的腹内小肠疝比较少见,正确认识发病部位的解剖关系及影像学表现,对临床诊断及治疗具有较高的实用价值。Objective To observe the imaging changes of internal hernia of small intestine through broad ligament defect,summarize its imaging characteristics,and provide the basis for accurate diagnosis of internal hernia of small intestine through broad ligament defect.Methods The clinical data and imaging changes of 3 patients with internal hernia of small intestine through broad ligament defect confirmed by surgery were retrospectively analyzed.Results CT showed"pseudotumor"imaging changes of strangulated intestinal obstruction in the pelvis,with isolated dilated small bowel collaterals compressing the rectum and sigmoid colon dorsolaterally and the uterus ventrally,suggesting that the strangulated loop may herniate anteriorly to posteriorly through a broad ligament defect.Conclusion Internal hernia of small intestine through broad ligament defect is relatively rare,and a correct understanding of the anatomical relationship and imaging manifestations of the onset site has high practical value for clinical diagnosis and treatment.

关 键 词：阔韧带缺损 腹内小肠疝 绞窄性梗阻 影像学 

分 类 号：R656.7[医药卫生—外科学]