Point-of-care ultrasound guided reduction of an incarcerated umbilical hernia

Autor: Alan Gillespie, Peter J Snelling
Rok vydání: 2020
Předmět:
Zdroj: Visual Journal of Emergency Medicine. 19:100732
ISSN: 2405-4690
Popis: A 56 year-old female presented to the Emergency Department (ED) with reoccurrence of an incarcerated umbilical hernia on a background of cirrhotic liver disease (Child Pugh B). She reported 6 h of severe colicky umbilical pain with associated nausea, anorexia and irreducible mass. Her abdominal examination confirmed a firm 5 cm umbilical mass that was mildly tender to palpation. This was identical to her presentation 2 months prior, with CT confirmation of incarcerated loops of small bowel within an abdominal wall defect, without strangulation. At that time, the general surgical team were unable to initially manually reduce, and she was admitted to the ward with eventual manual reduction the following morning without complication.
Databáze: OpenAIRE