剖宫产术后粘连致腹内疝一例:应及时治疗避免肠坏死风险

A Case of Internal Hernias Caused by Adhesion after Cesarean Section: Timely Treatment to Avoid the Risk of Intestinal Necrosis

腹腔手术是诱发腹内疝的常见后天因素。因术后导致的腹腔内异常孔隙或器官间粘连都可能构成腹内疝的疝环,肠道等腹腔脏器容易疝入其中,若持续遭受疝环卡压,易引发肠梗阻甚至肠道坏死等严重后果,因此疑似腹内疝患者应得到及时的诊断与救治。在此报告一例因剖宫产术后子宫底与后腹膜粘连导致腹内疝的患者,由于自诉症状缓解,没有第一时间接受手术治疗,后因病情进展而紧急行腹腔探查术治疗,及时缓解了患者肠梗阻的症状,避免了肠梗阻进展至肠坏死。对于既往接受腹腔手术的患者,应注意术后腹内疝的预防、诊断与治疗,确保患者的健康与安全。

Abdominal surgery is a common acquired factor in inducing internal hernias. Abnormal pores in the abdominal cavity or adhesion between organs after operation may form a hernia ring or internal hernias, in which intestinal and other abdominal organs are easy to herniate. If they continue to suffer from hernia entrapment, it is easy to cause serious consequences such as intestinal obstruction and even intestinal necrosis. Therefore, patients with suspected intra-abdominal hernia should be diagnosed and treated in time. This paper reports a patient with an internal hernia caused by adhesion of the uterine floor and retroperitoneum after a cesarean section. Due to the relief of symptoms, the patient did not receive surgical treatment at the first time, and then emergency abdominal exploration was performed because of the progression of the disease. The symptoms of intestinal obstruction were relieved in time and prevented intestinal obstruction from progressing to intestinal necrosis. For patients who have previously received abdominal surgery, attention should be paid to the prevention, diagnosis, and treatment of postoperative internal hernias to ensure the health and safety of patients.