Kang Byung Hee, Choi Donghwan
Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
J Trauma Inj. 2024 Mar;37(1):83-85. doi: 10.20408/jti.2023.0078. Epub 2024 Feb 23.
Pneumoperitoneum usually presents as a surgical emergency, especially in patients with a history of trauma. However, we recently encountered an atypical case of pneumoperitoneum at a hysterectomy site following blunt trauma, indicating that immediate laparotomy may not always be necessary. In this report, we present the case of a 45-year-old woman who was transferred to our trauma center from a local hospital after being involved in a traffic accident the day before. Although she underwent an emergency laparotomy, no bowel perforation was detected. Instead, a rupture was found at the site of a hysterectomy that had been performed 8 months earlier. After repairing the hysterectomy site, the pneumoperitoneum resolved, and the patient was subsequently discharged without further complications.
气腹通常表现为外科急症，尤其是在有创伤史的患者中。然而，我们最近遇到了一例钝性创伤后子宫切除部位出现非典型气腹的病例，这表明并非总是需要立即进行剖腹手术。在本报告中，我们介绍了一名45岁女性的病例，她在事故发生前一天因交通事故从当地医院转入我们的创伤中心。尽管她接受了急诊剖腹手术，但未发现肠穿孔。相反，在8个月前进行的子宫切除部位发现了破裂。修复子宫切除部位后，气腹消失，患者随后出院，无进一步并发症。
