Peritoneal hernia

Introduction to peritoneal hernia Wearing a peritoneal hernia, also known as small omental sac. It is a free small intestine intestinal fistula (occasionally transverse colon), which can be formed by the gastric collateral ligament, the liver and stomach ligament or the transverse mesenteric membrane into the small omental sac by the hole or small omentum hole caused by trauma or surgery. basic knowledge Sickness ratio: 2% Susceptible people: no specific people Mode of infection: non-infectious Complications: toxic shock syndrome

Peritoneal hernia

It is a free small intestine intestinal fistula (occasionally transverse colon), which can be formed by the gastric collateral ligament, the liver and stomach ligament or the transverse mesenteric membrane into the small omental sac by the hole or small omentum hole caused by trauma or surgery.

Peritoneal hernia prevention

There are no specific preventive measures for this disease.

Peritoneal hernia complications Complications toxic shock syndrome

It is easy to have water and electrolyte imbalance, intestinal necrosis, toxic shock and other diseases.

Peritoneal hernia symptoms Common symptoms Changchang abdominal pain sudden right upper quadrant cramps nausea gas over water abdomen muscle tension lower abdominal pain mobile dullness shock bloody exudate

Most of the performance is acute episode abdominal pain, the above abdomen is heavy, can be severely painful or cramping, pain can be radiated to the lower back, accompanied by nausea, frequent vomiting, vomit is bile-like stomach content, no Exhaust defecation, check can find full upper abdomen, left upper abdomen can often touch cystic mass, local can have tenderness, rebound tenderness and abdominal muscle tension, severe cases can develop full abdominal pain, with mobile dullness, bowel sounds Advance, there is a high-profile gas over the water, abdominal wear can extract light yellow exudate or bloody exudate, can be accompanied by severe water and electrolyte imbalance, intestinal necrosis, toxic shock.

Peritoneal hernia examination

1. X-ray inspection features are:

1 in the upper abdomen can be seen in the expansion

2 There may be multiple or single liquid planes in the small omental capsule;

3 If the gas and liquid level in the stomach is not easy to identify, it can be observed after gastrointestinal decompression;

4 In addition to gas accumulation in the stomach, there is a circular gas accumulation area in the upper abdomen;

5 The stomach can be pushed to the left for compression deformation.

2. B-mode ultrasonography can suggest that there is an enlarged intestinal fistula in the small omental sac, and the affected bowel movement disappears.

Diagnostic identification of peritoneal hernia

diagnosis

According to the clinical manifestations of acute onset abdominal pain, with high intestinal obstruction symptoms, X-ray examination and B-mode ultrasound examination is not difficult to make a diagnosis.

Differential diagnosis

Attention should be distinguished from diseases such as intestinal obstruction and intestinal emphysema syndrome.

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