Lutwak Nancy, Dill Curt
Department of Emergency Services, VA New York Harbor Healthcare Center, New York, United States.
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。
