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中华疝和腹壁外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (04) : 453 -455. doi: 10.3877/cma.j.issn.1674-392X.2026.04.019

病例分析

罕见小网膜孔疝致绞窄性肠梗阻一例临床分析
张峰1, 蒋三发1,(), 王春妍2, 胡萍1   
  1. 1324000 浙江,衢州市柯城区人民医院普外科
    2324000 浙江,衢州市柯城区人民医院影像科
  • 收稿日期:2026-01-14 出版日期:2026-08-18
  • 通信作者: 蒋三发

Clinical analysis of a rare case of strangulated intestinal obstruction caused by foramen of Winslow hernia

Feng Zhang1, Sanfa Jiang1,(), Chunyan Wang2, Ping Hu1   

  1. 1Department of General Surgery, Kecheng District People's Hospital, Quzhou 324000, Zhejiang Province, China;
    2Department of Radiology, Kecheng District People's Hospital, Quzhou 324000, Zhejiang Province, China
  • Received:2026-01-14 Published:2026-08-18
  • Corresponding author: Sanfa Jiang
引用本文:

张峰, 蒋三发, 王春妍, 胡萍. 罕见小网膜孔疝致绞窄性肠梗阻一例临床分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2026, 20(04): 453-455.

Feng Zhang, Sanfa Jiang, Chunyan Wang, Ping Hu. Clinical analysis of a rare case of strangulated intestinal obstruction caused by foramen of Winslow hernia[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(04): 453-455.

本文报道了1例老年男性患者,因肠梗阻表现入院,术中发现回肠经网膜孔疝入并嵌顿坏死,行肠切除吻合术,术后并发肺部感染,后因经济原因自动出院。此病例提示早期识别小网膜孔疝,及时手术探查是改善预后的关键。

This article reports a case of an elderly male patient admitted due to manifestations of intestinal obstruction. Intraoperatively, it was found that the ileum herniated through the foramen of Winslow with incarceration and necrosis, and intestinal resection and anastomosis were performed. Postoperatively, the patient developed a pulmonary infection and was discharged voluntarily due to financial reasons. This case suggests that early identification of Winslow hernia and timely surgical exploration are the keys to improving prognosis.

图1 1例老年男性小网膜孔疝致绞窄性肠梗阻患者术前CT检查及术中所见 1A术前腹部横断面CT检查;1B术前腹部矢状面CT检查;1C肠管嵌顿状态;1D肠管回纳状态注:A肝脏,B嵌顿肠管,C门静脉,D小肠,E胃,F胆总管,G胆囊。
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