Backen Timbre, Crawley W Tyler, Bouchard Travis, Quan Glenda
General Surgery Residency Program, Swedish Medical Center, Englewood, CO, USA.
Department of Graduate Medical Education, Swedish Medical Center, Englewood, CO, USA.
J Surg Case Rep. 2022 Dec 7;2022(12):rjac536. doi: 10.1093/jscr/rjac536. eCollection 2022 Dec.
We present a 76-year-old male who presented to the emergency department with 24 hours of sudden onset, severe abdominal pain. Physical exam and laboratory analysis indicated acute cholecystitis, and a CT scan demonstrated a ventral hernia containing an inflamed gallbladder. This patient was managed operatively with an open cholecystectomy. The ventral hernia was not repaired at the index operation in the setting of frank gallbladder necrosis. The patient recovered well after a short post-operative stay. This report is intended to illustrate an unusual presentation of acute, gangrenous cholecystitis with herniation through the ventral abdominal wall.
我们报告一例76岁男性患者，因突发严重腹痛24小时就诊于急诊科。体格检查和实验室分析提示急性胆囊炎，CT扫描显示一个包含发炎胆囊的腹疝。该患者接受了开放性胆囊切除术。鉴于胆囊明显坏死，在初次手术时未修复腹疝。患者术后短期住院后恢复良好。本报告旨在说明急性坏疽性胆囊炎通过腹前壁疝出的一种不寻常表现。
