原发性腹茧症合并隐睾术前误诊4例

目的:提高腹茧症的诊治水平.方法:我院2006-01/12收治的原发性腹茧症患者4例临床资料,以急性肠梗阻入院,查体发现均合并单侧隐睾,全部病例行剖腹探查.结果:术中证实腹茧症诊断,手术方案采取全部或部分包膜切除、肠黏连松解、肠排列术等,均痊愈出院.结论:腹茧症临床表现无特异性,术前诊断困难,对合并隐睾的肠梗阻应考虑到腹茧症的可能,手术治疗是腹茧症有效的治疗方法.

Diagnosis and treatment of four patients with primary abdominal cocoon accompanied with undescended testicle

AIM:To improve diagnosis and treatment of abdominal cocoon. METHODS:Four patients with primary abdomi- nal cocoon who were admitted to our hospital from January to December 2006 were analyzed. All patients were diagnosed with an acute in- testinal obstruction.Unilateral undescended testicle was found in all patients during physical examination,and all underwent emergency op- eration. RESULTS:The diagnosis of abdominal cocoon was confirmed after the operation.Partial or total capsule resection,lysis of any intestinal adhesion,and internal stenting was adopted in all four cases.All recovered uneventfully after surgery CONCLUSION:As patients with abdominal cocoon present with no specific clinical features, preoperative diagnosis is difficult.The possibil- ity of abdominal cocoon should be considered when a patient with an intestinal obstruction has an undescended testicle.Laparotomy is an effec- tive treatment for abdominal cocoon.