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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-27887

Neuhaus, V; Turina, M; Colombo, G; Soklic, P; Simmen, H P (2009). Dünndarmruptur nach stumpfem Abdominaltrauma bei vorbestehender Inguinalhernie. Der Chirurg, 80(3):231-237.

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Abstract

BACKGROUND: Intestinal perforation following blunt trauma to the abdomen is a rare but life-threatening complication in patients with pre-existing inguinal hernia. MATERIAL AND METHODS: We examined retrospective case series of patients with intestinal perforation following blunt abdominal trauma. RESULTS: Within 2 years, three patients with pre-existing inguinal hernia were referred to our clinic following simple falls while cross-country skiing. Upon signs of abdominal tenderness and radiographic evidence of free air, explorative laparotomy with revision of the affected bowel segments was performed. The postoperative course was uneventful in two patients. One developed adhesive ileus and incisional hernia within 1 year. CONCLUSIONS: Intestinal perforation must be suspected in patients with inguinal hernia and signs of diffuse abdominal tenderness following blunt trauma. Urgent explorative laparotomy with revision of the affected bowel segments is mandatory in patients with free abdominal air. Secondary hernia repair may represent the safest and most reliable approach and should be delayed until full recovery from the initial surgery.

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1 citation in Web of Science®
1 citation in Scopus®
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Other titles:Intestinal perforation following blunt abdominal trauma in patients with pre-existing inguinal hernia
Contributors:Spital Oberengadin, Samedan, Spital Limmattal, Schlieren
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Trauma Surgery
04 Faculty of Medicine > University Hospital Zurich > Division of Surgical Research
DDC:610 Medicine & health
Language:German
Date:March 2009
Deposited On:25 Jan 2010 13:43
Last Modified:06 Dec 2013 11:00
Publisher:Springer
ISSN:0009-4722
Publisher DOI:10.1007/s00104-008-1640-5
PubMed ID:18958436

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