Dan Dilip, Ramraj Parasram, Solomon Verin, Ramnarine Malini, Kawal Trudy, Bascombe Nigel, Naraynsingh Vijay
Department of Surgery, San Fernando Teaching Hospital; University of the West Indies, St. Augustine, Trinidad and Tobago.
Department of Surgery, San Fernando Teaching Hospital; University of the West Indies, St. Augustine, Trinidad and Tobago.
Int J Surg Case Rep. 2014;5(12):1041-3. doi: 10.1016/j.ijscr.2014.10.077. Epub 2014 Oct 24.
An acquired abdominal intercostal hernia (AIH) is a very rare and sporadically reported entity. Most cases of AIH are secondary to major trauma and the treatment of choice is surgical repair.
We present the case of a 58-year-old man who presented with a painless intercostal swelling, which started after previous penetrating trauma to the same area. Radiological assessment was done with CT scan and the hernia was repaired with a laparoscopic approach using mesh.
AIH is a rare entity and trauma has an integral role in the pathophysiology. Surgical repair is the treatment of choice, however, due to the paucity of cases, there is no established method of choice for such repair. We present the first reported case in the Caribbean, which was repaired with the laparoscopic approach.
Although AIH is a rare condition, the pathophysiology seems relatively straightforward and the use of CT scan is recommended to confirm the diagnosis. The laparoscopic approach, with all its established benefits, appears to be a safe and feasible option in its management.
后天性腹肋间疝（AIH）是一种非常罕见且鲜有报道的病症。大多数AIH病例继发于重大创伤，治疗的首选方法是手术修复。
我们报告一例58岁男性病例，该患者出现无痛性肋间肿胀，此症状始于同一区域先前的穿透性创伤。通过CT扫描进行了影像学评估，并采用腹腔镜方法使用补片修复了疝气。
AIH是一种罕见病症，创伤在其病理生理学中起着不可或缺的作用。手术修复是首选治疗方法，然而，由于病例稀少，尚无既定的此类修复选择方法。我们报告了加勒比地区首例采用腹腔镜方法修复的病例。
尽管AIH是一种罕见病症，但其病理生理学似乎相对简单明了，建议使用CT扫描来确诊。腹腔镜方法具有诸多既定优势，在其治疗中似乎是一种安全可行的选择。
