| 篇名 |
Traumatic Small Intestine Perforation in Incisional Hernia |
| 作者 |
Hsing-Lin Lin, Jiun-Nong Lin, Chao-Wen Chen,Wei-Che Lee, Yuan-Chia Cheng, Tsung-Ying Lin |
| 卷期/出版年月 |
42卷2期 (2009/4) |
| 頁次 |
118-121 |
| 摘要 |
Blunt abdominal trauma is not uncommon, but traumatic small intestine perforation
in the incisional hernia is very rare. Diagnosis is sometimes difficult. We present a
patient who had undergone surgical resection of gastrointestinal stromal tumor
(GIST) and sustained an incisional hernia with a segment of intestine falling into the
right lower quadrant of the abdomen. He was kicked over the hernia and then
sustained progressive severe pain. At the emergency department, an impression of
peritonitis was made, and bladder rupture was highly suspected after obtaining an
abdominal CT scan. Small intestine perforation was confirmed during emergency
laparotomy. Due to lack of protection by the intact belly, the small intestine in the
hernia sac is vulnerable to injury under direct contusion. Besides, accumulation of
the intestinal content around the lower abdominal cavity may mask the
manifestations of perforation and lead to the misdiagnosis of urinary bladder
rupture. Therefore, one should be aware that hernia is a risk factor of small intestine
perforation. Physicians should not forget the possibility of the risk of small intestine
perforation in patients with hernia who sustain blunt abdominal contusion. |
| 關鍵詞 |
small intestine perforation, incisional hernia, blunt contusion |
| 分類 |
Case Report |
