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床旁超声在嵌顿性腹股沟疝诊断中的应用

Point-of-Care Ultrasound in the Diagnosis of an Incarcerated Inguinal Hernia.

作者信息

Jacomino Kristina, Frasure Sarah E, Boniface Keith S, Shokoohi Hamid

机构信息

Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston MA, USA.

出版信息

Cureus. 2021 Jul 9;13(7):e16281. doi: 10.7759/cureus.16281. eCollection 2021 Jul.

Abstract

Emergency physicians can use point-of-care ultrasound to diagnose inguinal hernias as well as their potential complications, including small bowel obstruction, incarceration, and even strangulation. We provide an overview of the sonographic appearance of inguinal hernias, as well as the diagnostic criteria of serious complications. In this case report, point-of-care ultrasound findings included a non-reducible inguinal hernia associated with significant bowel dilation in multiple loops without signs of intestinal ischemia or necrosis.

摘要

急诊医生可以使用即时超声来诊断腹股沟疝及其潜在并发症,包括小肠梗阻、嵌顿甚至绞窄。我们概述了腹股沟疝的超声表现以及严重并发症的诊断标准。在本病例报告中,即时超声检查结果显示为不可复性腹股沟疝,伴有多个肠袢明显扩张,无肠缺血或坏死迹象。

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