Jeong Euisung, Jang Hyunseok, Jo Younggoun, Park Yunchul, Lee Naa, Kim Jungchul
Division of Trauma, Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
J Trauma Inj. 2022 Mar;35(1):61-65. doi: 10.20408/jti.2021.0062. Epub 2021 Dec 23.
Traumatic abdominal wall hernia is a very rare clinical entity. Herein, we report the case of a patient who was transferred from a local clinic to the emergency department because of left lower abdominal pain. Initially, an intra-abdominal hematoma was observed on computed tomography and no extravasation was noted. Conservative treatment was initiated, and the patient's symptoms were slightly relieved. However, though abdominal pain was relieved during the hospital stay, bowel herniation was suspected in the left periumbilical area. Follow-up computed tomography showed traumatic abdominal wall hernia with hemoperitoneum in the abdomen. We performed a laparoscopic exploration of the injury site and hernia lesion. The anterior abdominal wall hernia was successfully closed.
创伤性腹壁疝是一种非常罕见的临床病症。在此,我们报告一例患者,该患者因左下腹疼痛从当地诊所转至急诊科。最初,计算机断层扫描显示腹腔内有血肿,未发现造影剂外渗。开始采取保守治疗,患者症状稍有缓解。然而,尽管住院期间腹痛有所缓解,但怀疑左脐周区域有肠疝。后续计算机断层扫描显示创伤性腹壁疝并伴有腹腔积血。我们对损伤部位和疝病变进行了腹腔镜探查。成功闭合了前腹壁疝。