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| 概要 |
外傷性腹壁ヘルニアは強力な外力により腹壁が損傷された時に，皮膚・皮下組織の断裂や損傷を伴わずに皮膚の連続性が保たれた場合，腹腔内臓器が皮下に脱出する病態である．腹壁ヘルニアの中でも稀とされ，受傷時皮下出血を認める程度で軽傷と判断されることが多い．今回我々は事故にて遅発性に生じた外傷性腹壁ヘルニアを腹腔鏡にて修復した1例を経験したので報告する．
The occurrence of traumatic ...abdominal wall hernia secondary to blunt trauma is uncommon, and laparoscopic repair of such hernias is very rare. A 53-year-old man, who had sustained injuries to his right thigh and right abdomen 8 months previously, visited a hospital because of a bulge in the right lateral abdomen. An abdominal computed tomography scan revealed a rupture in the lateral abdominal muscle and herniation of the cecum into the subcutaneous space. Accordingly, delayed traumatic abdominal wall hernia was diagnosed, which was successfully repaired laparoscopically. Thus, a laparoscopic tension-free mesh repair was safely and effectively performed for delayed traumatic abdominal wall hernia.続きを見る
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