Low V, Kelsey P
Sir Charles Gairdner Hospital, Nedlands WA.
Australas Radiol. 1990 May;34(2):172-4. doi: 10.1111/j.1440-1673.1990.tb02838.x.
Traumatic ventral hernias occur rarely. A case is presented where bowel has herniated through a traumatic defect of the anterior abdominal musculature, demonstrated by CT. This has not been previously reported in the literature. These loops of bowel showed mural thickening and high density indicating severe injury and were found at laparotomy to be ischaemic. The patient simultaneously suffered rupture of the right hemidiaphragm, also demonstrated by CT and also an uncommon injury.
创伤性腹侧疝很少见。本文报告一例经CT证实肠管通过腹部前侧肌肉组织的创伤性缺损发生疝出的病例。此前文献中未见此类报道。这些肠袢显示肠壁增厚及高密度影，提示严重损伤，剖腹手术时发现肠管缺血。患者同时还发生了右侧膈肌破裂，CT检查也证实了这一点，这也是一种罕见的损伤。
