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West J Emerg Med. 2015 May;16(3):450-2. doi: 10.5811/westjem.2015.3.25498. Epub 2015 Apr 9.

Diagnosis of a Strangulated Laparoscopic Incisional Hernia with Point-of-Care Ultrasonography.

Author information

1
University of Toronto, Division of Emergency Medicine, Toronto, Ontario, Canada.
2
University of Toronto, Division of Emergency Medicine, Toronto, Ontario, Canada ; Sunnybrook Health Sciences Centre, Toronto, Canada.

Abstract

The use of point-of-care ultrasound for the diagnosis of bowel obstructions and hernias is becoming increasingly common in the emergency department (ED). Using a relatively rare case of an incisional port hernia, we demonstrate the ultrasound findings of a strangulated hernia causing a partial small bowel obstruction. A 46-year-old female presented four days following a laparoscopic surgery complaining of abdominal pain, nausea and lack of bowel movements. There was a palpable mass in the left lower quadrant under the 12mm trocar port incision. ED point-of-care ultrasound revealed herniated akinetic loops of bowel through her laparoscopy incision. This is the first case report to describe the use of point-of-care ultrasound for the diagnosis of a strangulated incisional port hernia at the bedside.

PMID:
25987928
PMCID:
PMC4427225
DOI:
10.5811/westjem.2015.3.25498
[Indexed for MEDLINE]
Free PMC Article

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