Journal of the Belgian Society of Radiology (Sep 2014)

A Rare Case of Early Onset Type of Abdominal Trocar Site Hernia?(TSH) with Atypical Externalizing in Two-Step: Multidetector Row CT Diagnosis

  • Dr B. Coulier,
  • A. Ramboux,
  • F. Pierard

DOI
https://doi.org/10.5334/jbr-btr.1337
Journal volume & issue
Vol. 97, no. 5
pp. 308 – 311

Abstract

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We report a rare case of early onset type Trocar Site Hernia (TSH) producing in the right lower abdominal quadrant of a 64-year old obese woman. The patient was admitted in the emergency room for abdominal pain producing four days after laparoscopic adnexectomy. The hernia atypically externalized in two-steps creating two superposed concentric small bowel strangulating hernias producing through two distinctive superposed orifices. A precise and complete anatomic diagnosis was made by contrast enhanced 64-row multidetector computed tomography (MDCT). The imaging features are presented with a short review of the literature. The case emphasizes the high performances of MDCT for the early diagnosis of Trocar Site Hernias.

Keywords