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创伤性腰椎疝:病例报告及文献综述

Traumatic lumbar hernia: case report and literature review.

作者信息

Esposito T J, Fedorak I

机构信息

Loyola University Shock Trauma Institute, Loyola University Medical Center, Maywood, Illinois.

出版信息

J Trauma. 1994 Jul;37(1):123-6.

PMID:8028048
Abstract

Lumbar hernia is an uncommon abdominal wall hernia. Acute abdominal wall hernias, particularly lumbar hernias, are a rare complication of trauma. We present a case of acute lumbar hernia as a direct effect of blunt abdominal trauma. Double-contrast CT scan detected herniation of bowel through an 8-cm right flank defect, which was surgically repaired with a prosthetic patch and omentopexy. In cases of acute traumatic lumbar hernia, immediate exploratory laparotomy with primary repair (when feasible) is recommended.

摘要

腰椎疝是一种不常见的腹壁疝。急性腹壁疝,尤其是腰椎疝,是创伤的罕见并发症。我们报告一例急性腰椎疝,它是钝性腹部创伤的直接后果。双重对比CT扫描发现肠管通过右侧8厘米的侧腹壁缺损处疝出,通过植入补片和网膜固定术进行了手术修复。对于急性创伤性腰椎疝病例,建议在可行时立即进行剖腹探查并一期修复。

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