| Abdominal separation in an adult male patient with acute abdominal pain | |
| Alternative Title | Abdominal separation in an adult male patient with acute abdominal pain |
| Liu BaoLin; Chen Yang; Liu ShiQing; Zhang XiaoBo; Cui DongXu; Dai XianWei | |
| 2010 | |
| Source Publication | WORLD JOURNAL OF GASTROENTEROLOGY
 |
| ISSN | 1007-9327 |
| Volume | 16Issue:26Pages:3343-3346 |
| Abstract | 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. |
| Other Abstract | 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. |
| Keyword | EMERGENCY-DEPARTMENT INTERNAL HERNIAS CT RADIOGRAPHY Abdominal separation Abdominal pain Internal hernia Malrotation Acute abdomen |
| Indexed By | CSCD |
| Language | 英语 |
| CSCD ID | CSCD:3906286 |
| Citation statistics | |
| Document Type | 期刊论文 |
| Identifier | http://ir.imr.ac.cn/handle/321006/149069 |
| Collection | 中国科学院金属研究所 |
| Affiliation | 中国科学院金属研究所 |
| Recommended Citation 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. |
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