嵌顿性脐疝导致小肠缺血。
Incarcerated umbilical hernia leading to small bowel ischemia.
作者信息
Lutwak Nancy, Dill Curt
机构信息
Department of Emergency Services, VA New York Harbor Healthcare Center, New York, United States.
出版信息
BMJ Case Rep. 2011 Sep 19;2011:bcr0620114370. doi: 10.1136/bcr.06.2011.4370.
A 59-year-old male with history of hepatitis C, refractory ascites requiring multiple paracentesis and transjugular intrahepatic portosystemic shunt placement presented to the emergency department with 2 days of abdominal pain. Physical examination revealed blood pressure of 104/66 and pulse of 94. The abdomen was remarkable for distention and a tender incarcerated umbilical hernia. The skin overlying the hernia was pale with areas of necrosis. The patient immediately underwent laparotomy which was successful.
一名59岁男性，有丙型肝炎病史，顽固性腹水，需要多次腹腔穿刺及行经颈静脉肝内门体分流术，因腹痛2天就诊于急诊科。体格检查显示血压为104/66，脉搏为94。腹部明显膨隆，有一个压痛性嵌顿性脐疝。疝表面的皮肤苍白，有坏死区域。患者立即接受了剖腹手术，手术成功。
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