Handlebar Hernia with Jejunal and Duodenal Injuries: A Case Report

創傷性腹壁疝氣是腹部創傷中不常見的併發症，狺漰潊榆襋更是不常見。就我們所知，文獻上被報告的手把性疝氣的病例不超過30例，而且相關的腹內臟器傷害也少見。本文報告一個發生於20歲男性合併空腸及十二指腸傷害的手把性疝氣。我們給予緊急手術治療，包括縫合腹壁疝氣及空腸傷害。由於引流管有膽汁流出，所以在術後第7天施行第二次手術。術中發現空腸縫合處裂開及十二指腸後壁有另一裂口，再次縫合腹壁疝氣及空腸十二指腸裂口。手術後，個案順利恢復並於30天後出院。之後11個月門診追蹤，腹壁疝氣並無復發及其他重大併發症。

關鍵字

創傷性腹壁疝氣；手把性疝氣；空腸損傷；十二指腸損傷

並列摘要

Traumatic abdominal wall hernia 15 an uncommon complication of abdominal blunt trauma. Handlebar hernia 15 even more infrequent.To the best of our knowledge, there are fewer than 30 cases of handlebar hernia reported in the English literature. Associated intra- abdominal injuries are infrequent. We present a case of handlebar hernia with jejunal and duodenal jejunal. Emergency surgical intervention included primary repair of the disrupted musculofascial defect and injuries of the duodenum and jejunal. Bile - stained discharge from the drain tube was noted, 50 a second operation was performed about 7 days after the first. Leakage from the sutured jejunal perforation and another irregular perforation in the posterior wall of the fourth portion of the duodenum were noted. The two perforations were debrided and repaired. The muscular and fascial defects were debrided and closed with interrupted sutures. The patient recovered smoothly and was discharged 30 days after the blunt injury. No other major complication was noted 11 months after surgery.

並列關鍵字

traumatic abdominal wall hernia ； handlebar hernia ； jejunal iniury ； duodenal injury

國際替代計量

Handlebar Hernia with Jejunal and Duodenal Injuries: A Case Report

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