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一名肝硬化患者治疗性腹腔穿刺术后发生嵌顿性脐疝。

Incarcerated Umbilical Hernia Following Therapeutic Paracentesis in a Cirrhotic Patient.

作者信息

Khatib Sohaib, Sabobeh Taher, Ahmed Mohamed, Abdalla Khalid, Algeo Erin

机构信息

Internal Medicine, University of Missouri, Kansas City School of Medicine, Kansas City, USA.

出版信息

Cureus. 2022 Apr 5;14(4):e23851. doi: 10.7759/cureus.23851. eCollection 2022 Apr.

DOI:10.7759/cureus.23851
PMID:35530876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9071239/
Abstract

Umbilical hernia is a relatively common complication developing in patients with liver cirrhosis with recurrent ascites. Abdominal paracentesis is considered the mainstay procedure to manage refractory ascites and to diagnose spontaneous bacterial peritonitis. Incarceration of umbilical hernia is a rare but serious adverse event following therapeutic paracentesis that requires prompt management. We describe a case of an incarcerated umbilical hernia following paracentesis requiring surgical repair in a cirrhotic patient.

摘要

脐疝是肝硬化伴反复腹水患者中相对常见的并发症。腹腔穿刺术被认为是治疗难治性腹水和诊断自发性细菌性腹膜炎的主要方法。脐疝嵌顿是治疗性腹腔穿刺术后罕见但严重的不良事件，需要及时处理。我们描述了一例肝硬化患者腹腔穿刺术后发生脐疝嵌顿，需要手术修复的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50cc/9071239/03c9f107d499/cureus-0014-00000023851-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50cc/9071239/d0bf6d2062d8/cureus-0014-00000023851-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50cc/9071239/03c9f107d499/cureus-0014-00000023851-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50cc/9071239/d0bf6d2062d8/cureus-0014-00000023851-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50cc/9071239/03c9f107d499/cureus-0014-00000023851-i02.jpg

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本文引用的文献

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MILOS and EMILOS repair of primary umbilical and epigastric hernias.MILOS 和 EMILOS 修复脐疝和腹上疝。
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Incarceration of umbilical hernia: a rare complication of large volume paracentesis.脐疝嵌顿：大量腹腔穿刺放液术的一种罕见并发症。
J Radiol Case Rep. 2015 Sep 30;9(9):20-5. doi: 10.3941/jrcr.v9i9.2614. eCollection 2015 Sep.
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Acute abdomen secondary to incarcerated umbilical hernia after treatment of massive cirrhotic ascites.
大量肝硬化腹水治疗后因脐疝嵌顿继发急腹症。
Case Reports Hepatol. 2013;2013:948172. doi: 10.1155/2013/948172. Epub 2013 Mar 10.
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