Karlsen Andreas A, Nielsen Therese F, Achiam Michael P
Gastroenheden, Kirurgisk Sektion D, Herlev Hospital, Herlev Ringvej 75, 2730 Herlev.
Ugeskr Laeger. 2013 Oct 28;175(44):2646-7.
Trocar site herniation (TSH) is a rare condition after laparoscopy and may cause obstruction of the bowel. TSH may be present despite attempted fascial closure. This case report includes two simultaneous TSH in a patient who had laparoscopic hysterectomy performed. She presented with symptoms with severe abdominal pain, excessive vomiting and bloating of the abdomen. A computed tomography showed herniation of the small bowel at two previous trocar sites. The case resulted in emergency laparoscopy with decompression of the herniated bowel.
套管针穿刺部位疝（TSH）是腹腔镜检查术后的一种罕见病症，可能导致肠梗阻。尽管尝试进行筋膜闭合，TSH仍可能出现。本病例报告包括一名接受腹腔镜子宫切除术的患者同时出现两处TSH。她表现出严重腹痛、频繁呕吐和腹部胀气等症状。计算机断层扫描显示小肠在先前的两个套管针穿刺部位发生疝出。该病例导致急诊腹腔镜检查及对疝出肠管进行减压。
