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Asymptomatic gastric diverticulum as incidental radiographic finding after surgery for strangulated inguinal hernia: Report of a case

机译:无症状性胃憩室作为绞窄性腹股沟疝手术后的放射影像学发现:一例报告

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Introduction Gastric diverticula consist a rare form of diverticula of the gastrointestinal tract. They can be described as an “out-pouching” protrusion from the gastric wall. They are usually found in patients aged between 20 and 60 years old. Presentation of case We present herein a case of an 82 year- old male patient who was admitted to our hospital with a strangulated inguinal hernia and a gastric diverticulum was incidentally found, as a post- operative radiographic finding. Discussion For symptomatic gastric diverticula, a conservative treatment is usually preferred as first approach with PPIs and soft diet to alleviate the symptoms. Surgical treatment as first approach should be preserved for cases where a connection has been established between the patients’ symptoms and the clinical presentation. Conclusion Resection via laparoscopic surgery is nowadays the method of choice for the treatment of gastric diverticula. Open surgery is still performed through a median laparotomy or a subcostal incision.
机译:引言胃憩室是胃肠道憩室的一种罕见形式。可以将它们描述为从胃壁“伸出”的突出部分。它们通常在20至60岁之间的患者中发现。病例介绍我们在此提供了一名82岁男性患者的病例作为术后影像学发现,该患者入院接受了绞痛性腹股沟疝和胃憩室的治疗。讨论对于有症状的胃憩室,通常首选保守治疗作为使用PPI和软饮食以减轻症状的首选方法。如果患者的症状与临床表现之间建立了联系,则应保留手术治疗作为第一方法。结论腹腔镜手术切除是当今治疗胃憩室的首选方法。仍通过正中剖腹术或肋下切口进行开放手术。

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