Point-of-care ultrasound guided reduction of an incarcerated umbilical hernia
Autor: | Alan Gillespie, Peter J Snelling |
---|---|
Rok vydání: | 2020 |
Předmět: |
Surgical team
medicine.medical_specialty medicine.diagnostic_test business.industry Nausea Abdominal wall defect 030208 emergency & critical care medicine Emergency department 030204 cardiovascular system & hematology medicine.disease Palpation Surgery 03 medical and health sciences 0302 clinical medicine Abdominal examination Emergency Medicine Medicine medicine.symptom Presentation (obstetrics) business Complication |
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 |
Externí odkaz: |