Adakal Ousseini, Adamou Harissou, Magagi Ibrahim Amadou, Koini Moussa, Halidou Maazou, Habou Oumarou
Département de Chirurgie et Spécialités Chirurgicales, Centre Hospitalier Régional de Maradi, Niger.
Département de Chirurgie et Spécialités Chirurgicales, Hôpital National de Zinder, Niger.
Pan Afr Med J. 2016 Oct 25;25:110. doi: 10.11604/pamj.2016.25.110.10808. eCollection 2016.
We report the case of a 20-year old patient with a personal history of fall over his motorcycle handlebar occurring 28 days earlier. He was admitted in emergency surgery with abdominal pain. Clinical examination showed a circular impact area at the level of the left hypochondrium associated with painful swelling, irreducible and with no impulse on coughing The diagnosis of traumatic parietal strangulated hernia was established. The patient underwent surgical treatment using midline laparotomy revealing parietal breach associated with incarceration of a portion of the omentum which was necrotic. The necrotic omentum was resected and the breach was sutured. The postoperative course was simple and the patient was discharged on d5.
我们报告一例20岁患者,其于28天前有过骑摩托车时摔倒在车把上的个人史。他因腹痛接受急诊手术入院。临床检查显示左季肋部有一个圆形撞击区域,伴有疼痛性肿胀,无法回纳,咳嗽时无冲击感。确诊为创伤性壁层绞窄性疝。患者接受了经中线剖腹术的手术治疗,术中发现有腹壁缺损,伴有一部分大网膜嵌顿且已坏死。切除坏死的大网膜并缝合缺损处。术后病程顺利,患者于术后第5天出院。