Abdominal separation in an adult male patient with acute abdominal pain

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	Abdominal separation in an adult male patient with acute abdominal pain
其他题名	Abdominal separation in an adult male patient with acute abdominal pain
	Liu BaoLin; Chen Yang; Liu ShiQing; Zhang XiaoBo; Cui DongXu; Dai XianWei
	2010
发表期刊	WORLD JOURNAL OF GASTROENTEROLOGY
ISSN	1007-9327
卷号	16 期号:26 页码:3343-3346
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 of ileocecal junction to Treitz ligament, and reduced the small intestinal malrotation. The patient had an uneventful recovery after operation 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. (C) 2010 Baishideng. All rights reserved.
其他摘要	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 of ileocecal 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.
关键词	EMERGENCY-DEPARTMENT INTERNAL HERNIAS CT RADIOGRAPHY Abdominal separation Abdominal pain Internal hernia Malrotation Acute abdomen
收录类别	CSCD
语种	英语
CSCD记录号	CSCD:3906286
引用统计
文献类型	期刊论文
条目标识符	http://ir.imr.ac.cn/handle/321006/149069
专题	中国科学院金属研究所
作者单位	中国科学院金属研究所
推荐引用方式 GB/T 7714	Liu BaoLin,Chen Yang,Liu ShiQing,et al. Abdominal separation in an adult male patient with acute abdominal pain[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2010,16(26):3343-3346.
APA	Liu BaoLin,Chen Yang,Liu ShiQing,Zhang XiaoBo,Cui DongXu,&Dai XianWei.(2010).Abdominal separation in an adult male patient with acute abdominal pain.WORLD JOURNAL OF GASTROENTEROLOGY,16(26),3343-3346.
MLA	Liu BaoLin,et al."Abdominal separation in an adult male patient with acute abdominal pain".WORLD JOURNAL OF GASTROENTEROLOGY 16.26(2010):3343-3346.