Traumatic abdominal wall hernia is a rare condition that can follow any blunt trauma. Associated intra-abdominal injuries are infrequent. In this study, we are reporting three cases, diagnosed as abdominal wall hernia associated with herniation of bowel loops due to blunt trauma. In one case, injury of the herniated bowel was seen. In western medical literature, only few cases have been reported especially with intra-abdominal injuries.
AMAÇKünt karın travmasının yüksek prevalansına karşın, travmatik karın duvarı hernisi (TKDH) ile nadiren karşılaşıl-maktadır. Değişken prezantasyonu ile birlikte bu antiteye ilişkin farkındalığın azlığı nedeniyle tanısı güçlükle konulmaktadır.
GEREÇ VE YÖNTEMHastanemizde ameliyat edilen TKDH'li bütün hastaların dosyaları, retrospektif olarak gözden geçirildi ve analiz edildi.BULGULAR TKDH'li toplam 11 hasta değerlendirildi (8 erkek, 3 kadın). Klinik tablo çeşitliydi; palpe edilebilen bir defekt ve redükte edilebilir şişlik (n=6), redükte edilemeyen şişliğe ilişkin lokalize alan (n=3), cerrahi amfizem (n=2) ve sellülit/apse formasyonu (n=2). Hastaların tamamı, hastaneye yatırılmalarından itibaren 24 saat içinde ameliyat edildi. Geç başvuran 3 hasta dışında kalanlarda, sonuç olumlu idi. Mortalite nedeni muhtemelen bağırsağın boğulması ile gelişen perforasyona bağlı septisemi idi.
SONUÇNadir olmakla birlikte TKDH, tanı ve müdahalede bir gecikme olması durumunda anlamlı morbidite ve mortalite ile birliktedir. Erken girişim sonucu anlamlı olarak iyileştir-mektedir.Anahtar Sözcükler: Karın duvarı; künt travma; herni.
Peritoneal encapsulation (PE) is a rare congenital anomaly that is formed due to an accessory peritoneal layer encapsulating the small bowel. Kinking of bowel within the accessory peritoneal layer or adhesions between the bowel loops and the peritoneal layer causes symptoms ranging from colicky abdominal pain to rarely intestinal obstruction. Cleland was the first person to have reported this condition as early as 1868 and since then only around 30 cases have been reported. Here, we present a case of acute intestinal obstruction in a 22-year-old woman. Imaging showed dilated bowel loops confined to the centre of the peritoneal cavity. Intraoperatively it was seen to be a case of peritoneal encapsulation. The small intestine was freed and accessory layer excised. This report is to demonstrate this rare congenital anomaly.
Breast tuberculosis is a rare form of tuberculosis (TB). It is mainly classified as primary and secondary forms. Primary form is rare. We are reporting a case of primary TB breast with history of breast lump and multiple sinuses. TB was diagnosed on FNAC. Patient was put on anti-tubercular drugs.
A 65-year-old man presented with history of pain in the right side of abdomen for last 2 years with concomitant dyspepsia. On examination, there was no icterus, and abdominal examination was unremarkable. The patient had been investigated earlier and referred to tertiary center in view of common bile duct (CBD) stones. Magnetic resonance cholangiopancreaticography (MRCP) showed dilated CBD packed with stones. The patient was subjected to ERCP and stenting, and then underwent open cholecystectomy with CBD exploration. On opening the CBD, there was a single large stone occupying whole of the CBD and extending into both hepatic ducts. The stone could not be removed in toto, so it was extracted in two pieces which measured approximately 9×4 cms (Fig.
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