A Case of Traumatic Abdominal Wall Hernia Overlooked at the Time of Laparoscopic Surgery
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- Takizawa Kazuyasu
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Minagawa Masahiro
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Hirose Yuki
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Katada Tomohiro
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Sudo Natsuru
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Tajima Yosuke
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Nakano Masato
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Kobayashi Takashi
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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- Wakai Toshifumi
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
Bibliographic Information
- Other Title
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- 初回腹腔鏡手術後に発症した外傷性腹壁ヘルニアの1例
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Abstract
A 29-year-old man had sustained injuries in a traffic accident and was admitted as an emergency. Subcutaneous hemorrhage with a seat belt sign was found on his lower abdomen. A whole-body CT scan revealed multiple bone fractures and fluid collection in the peritoneal cavity. Pneumoperitoneum was not detected and diagnostic laparoscopy was performed. At laparoscopy, a small amount of unclotted blood was found with laceration of the sigmoid colon and mesenteric injuries. He underwent sigmoid colectomy. On 2 days after surgery, however, he had abdominal distention with nausea. A CT scan showed the laceration of the rectus abdominis muscle and herniation of the small intestine into the defect. He was diagnosed as having a traumatic abdominal wall hernia and underwent a reoperation. At laparotomy, disruption of the fascia and the peritoneum were found not at the port site but at the linea alba near the arcuate line. The patient underwent a partial resection of the small intestine and a direct suture of the rectus abdoministo repair the abdominal wall hernia. The number of diagnostic laparoscopies for patients with abdominal blunt trauma has been increasing. A traumatic abdominal hernia should be kept in mind as a probable differential diagnosis, since it is easily overlooked in laparoscopic surgery.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 35 (4), 477-482, 2015
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390001204737723136
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- NII Article ID
- 130005098267
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed