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创伤性腹壁疝:病例报告及文献复习

Traumatic abdominal wall hernia: case report and review of the literature.

作者信息

Henrotay J, Honoré C, Meurisse M

机构信息

Abdominal, Senologic, Endocrine and Transplantation Surgery Department, CHU Liège, Liege, Belgium.

出版信息

Acta Chir Belg. 2010 Jul-Aug;110(4):471-4. doi: 10.1080/00015458.2010.11680658.

Abstract

Traumatic abdominal wall hernia (TAWH) is a rare type of hernia that occurs after an impact of the abdominal wall against a blunt object. The first case described was reported in 1906 and ever since, 46 cases have been reported. CT scan is mandatory in the diagnosis of TAWH but also because of a frequent association with significant intra-abdominal injuries. We report here the case of a 61-year-old man with a TAWH developed after impact against a bicycle handlebar. Hemodynamically stable and without associated injuries, the patient was monitored for 24 hours before hospital discharge. A successful elective hernia repair with a prosthetic mesh was performed 6 weeks later once cicatrisation was achieved.

摘要

创伤性腹壁疝(TAWH)是一种罕见的疝类型,发生于腹壁受到钝性物体撞击之后。首例病例于1906年被报道,自那时起,共报道了46例。CT扫描对于TAWH的诊断至关重要,而且还因为它常与严重的腹腔内损伤相关。我们在此报告一例61岁男性患者,其TAWH是在被自行车车把撞击后形成的。患者血流动力学稳定且无相关损伤,在出院前接受了24小时的监测。6周后,待瘢痕形成,成功进行了择期人工补片疝修补术。

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