腹腔镜手术治疗十二指肠旁疝1例

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患者 女,66岁.因腹痛半月入院.腹痛以左中上腹部为甚,呈阵发性胀痛,疼痛程度难以忍受,常于进食后发作,无放射痛,伴恶心、呕吐,且发作时左上腹部可触及一鸡蛋大小包块,疼痛可自行缓解,疼痛缓解时腹部包块消失.起病后曾在当地医院诊治[腹部CT平扫提示:左侧中上腹部见圆形肿块影,其内见肠管、肠系膜包裹,边缘光滑,周围脂肪、系膜密度增高,肿块近端十二指肠及胃窦部扩张,考虑左侧十二指肠旁疝(图1);胃镜提示:慢性糜烂性胃炎,并行654-2解痉、泮托拉唑护胃等治疗].腹痛无明显缓解,2d前腹痛自行缓解后来我院就诊.
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