Yuki Ohnishi, Jun Ebiko, Yasuhiro Suyama, Hiroyuki Otsuka
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引用次数: 0

摘要

目的:我们报告一例低能量间接创伤后腹股沟疝小肠穿孔。患者:一名55岁男性,患有已知的右腹股沟疝,先前没有手术指征,在突然刹车导致他的摩托车把手撞击右大腿后,出现急性右腹股沟疼痛。结果:腹部及骨盆体格检查及CT扫描显示疝囊内多腔外空气,周围肠内容物可见气泡。基于这些发现,我们诊断为腹股沟疝内小肠穿孔。结论:腹股沟疝小肠穿孔是一种罕见但可能危及生命的并发症,需要紧急手术干预。诊断和治疗的延误可导致腹膜炎、脓肿形成、败血症和延长住院时间。因此,即使没有直接创伤或随后的低能量损伤,临床医生也应保持对腹股沟疝患者肠穿孔的高度怀疑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case of small intestinal perforation within inguinal hernia after low-energy indirect trauma.

Objective: We present a case of small intestinal perforation within an inguinal hernia following low-energy indirect trauma.

Patient: A 55-year-old man with a known right inguinal hernia which had no prior indication for surgery developed acute right groin pain after sudden braking caused his scooter handlebar to strike his right thigh.

Results: Physical examination and computed tomography (CT) scan of the abdomen and pelvis revealed multiple pockets of extraluminal air within the hernia sac, as well as gas bubbles in the surrounding intestinal contents. Based on these findings, we made a diagnosis of small intestinal perforation within the inguinal hernia.

Conclusion: Small intestinal perforation within an inguinal hernia is an uncommon but potentially life-threatening complication requiring emergent surgical intervention. Delays in diagnosis and management can lead to peritonitis, abscess formation, sepsis, and prolonged hospitalization. Therefore, clinicians should maintain a high index of suspicion for intestinal perforation in patients with inguinal hernias, even in the absence of direct trauma or subsequent low-energy injuries.

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