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一名在安全带损伤后出现腹痛的女性。

A Woman with Abdominal Pain After Lap-belt Trauma.

作者信息

Davis Chandler, Shufflebarger Erin F, Hubbs Andrew, Pacheco Zachary S

机构信息

University of Alabama Birmingham Heersink School of Medicine, Birmingham, Alabama.

University of Alabama Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.

出版信息

Clin Pract Cases Emerg Med. 2023 Nov;7(4):271-273. doi: 10.5811/cpcem.1251.

Abstract

CASE PRESENTATION

A 24-year-old female presented to the emergency department with diffuse abdominal pain after involvement as a restrained driver in a motor vehicle collision (MVC). Computed tomography of the abdomen revealed a traumatic abdominal wall hernia due to rectus wall rupture with complete bowel herniation.

DISCUSSION

A traumatic abdominal wall hernia is a rare complication of blunt abdominal trauma that is typically associated with injury from a motorcycle handlebar but is more commonly seen after a MVC. It is important to consider this diagnosis when evaluating patients with abdominal pain after blunt abdominal trauma from either of these mechanisms.

摘要

病例介绍

一名24岁女性,在机动车碰撞事故(MVC)中作为受约束的驾驶员受伤后,因弥漫性腹痛被送往急诊科。腹部计算机断层扫描显示因腹直肌壁破裂导致外伤性腹壁疝,并伴有完全性肠疝。

讨论

外伤性腹壁疝是钝性腹部创伤的一种罕见并发症,通常与摩托车车把损伤有关,但在机动车碰撞事故后更常见。当评估因这些机制之一导致钝性腹部创伤后出现腹痛的患者时,考虑这一诊断很重要。

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