Benzoni Carlo, Benini Bruno, Pirozzi Cesare
Division of General and Emergency Surgery, S. Camillo-Forlanini Hospital, Viale Portuense 322, 00149 Rome, Italy.
Hernia. 2004 Dec;8(4):387-8. doi: 10.1007/s10029-004-0220-y.
We describe here the first case in the literature of gallbladder strangulation within an incisional hernia. A patient with a history of rectal cancer operation presented with a "surgical abdomen" and a palpable right upper quadrant mass at the site of the previous colostomy. At surgery, a strangulated gallbladder was found in the subcutaneous tissue. Cholecystectomy was performed, and patient recovery was uneventful. If gallbladder strangulation is suspected, the surgeon should avoid forceful attempts at hernia reduction, as this may cause rupture of the gallbladder and subsequent contamination.
我们在此描述文献中首例切口疝内胆囊绞窄的病例。一名有直肠癌手术史的患者出现“急腹症”，在既往结肠造口部位可触及右上腹肿块。手术时，在皮下组织中发现一个绞窄的胆囊。实施了胆囊切除术，患者恢复顺利。如果怀疑有胆囊绞窄，外科医生应避免强行还纳疝，因为这可能导致胆囊破裂及随后的污染。
