Case Report of a Huge Umbilical Hernia with Blackening of the Skin

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  • Shiraki Hideto
    Department of Frontier Surgery, Graduate School of Medicine, Chiba University
  • Imanishi Shunsuke
    Department of Frontier Surgery, Graduate School of Medicine, Chiba University
  • Ohira Gaku
    Department of Frontier Surgery, Graduate School of Medicine, Chiba University
  • Tochigi Toru
    Department of Frontier Surgery, Graduate School of Medicine, Chiba University
  • Matsubara Hisahiro
    Department of Frontier Surgery, Graduate School of Medicine, Chiba University

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Other Title
  • 黒色の色調変化を伴った巨大な臍ヘルニア嵌頓の1救命例
  • コクショク ノ シキチョウ ヘンカ オ トモナッタ キョダイ ナ セイヘルニアカントン ノ 1 キュウメイレイ

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Abstract

<p>A 75–year–old female patient with a huge black abdominal bulge and signs of shock was transported to the emergency department of our hospital. She was diagnosed as having incarcerated umbilical hernia, with necrosis of the herniated ileum. Emergency surgery with two partial ileal resections was performed. Then, we simply closed the hernia orifice, without a mesh. While it is important to perform emergency surgery as soon as possible to avoid intestinal resection in patients with incarcerated hernia, changes in the skin tone should be significantly paid attention too. </p>

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