网膜疝

B Diagram of the surgical findings shows that the hernial orifice is in the periphery of the greater omentum.

手术所见的示意图显示疝孔位于大网膜的外周部。

At admission, the vital signs, laboratory values, and results of physical examination were normal with the exception of mild epigastric pain.

图11 一78岁男性患者的网膜疝，表现为持续24小时的急性上腹部疼痛，住院时的生命体征、实验室检查结果和体格检查均正常，仅表现为中上腹疼痛。

Bowel or omentum may herniate alongside the drain.

肠管或网膜可能沿引流物疝出。

Results One case with transverse mesocolon pore hernia, one with obturator hernia and one with paracecal hernia were confirmed by exploratory laparotomy. There were six cases whose hernias resulted from the fall of export jejuna into import jejuna after Billroth II anastomoses in front of colons, five from the pelvic bottoms' peritoneal fissure and four from the fissure appearing between descending colon and lateral abdominal wall after Miles' operation, one from greater omental adhesion to sigmoidal wall after sigmoidostomy, and one from inflammatory adhesion on the basis of Meckel's diverticulum. The other 17 cases' hernias (48.7%) were caused by the fissure among celiac adhesive bands, peritonea, celiac organs, enteric walls and intestines.

结果 剖腹探查手术证实为横结肠系膜裂孔疝1例；闭孔疝1例；盲肠旁疝1例；毕Ⅱ式结肠前吻合术后输出段空肠疝入输入段空肠与横结肠系膜间隙6例；Miles术后盆底腹膜裂开所致内疝5例；Miles术后降结肠与侧腹壁形成的间隙致内疝4例；大网膜与乙状结肠造口肠壁粘连形成内疝1 例；1例在梅克尔憩室基础上发生炎性粘连形成腹内疝；因腹腔粘连带与腹膜、腹腔脏器、肠壁、肠与肠之间的孔隙改变形成内疝17例（48.7%）。

A = foramen of Winslow hernia, B = left paraduodenal hernia, C = right paraduodenal hernia, D = transmesenteric hernia, E = pericecal hernia, F = transomental hernia, G = intersigmoid hernia.

图1 示意图显示上腹腔和下腹腔腹内疝的部位和方向。A，Winslow孔疝；B，左侧十二指肠旁疝；C，右侧十二指肠旁疝；D，肠系膜疝；E，盲肠旁疝；F，网膜疝；G，乙状结肠疝。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。