外傷性腹壁ヘルニアを伴った空腸穿孔の1例と小児腹部外傷23例の検討

概要

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A seven-year-old boy was transferred to our hospital because of traumatic hernia of the abdominal wall. At the operation, the fascia was torn 4cm in length at the left linea semilunaris. The jejunum at 5cm distal to the Treitz's ligament was perforated. The perforated site was closed by direct suture and the abdominal wall hernia was repaired. The postoperative course was uneventful. The analysis of 23 cases of the abdominal trauma in our hospital was presented. The incidence of the traffic accident was most frequent (12 of 23 cases). The injuries of the parenchymal organs were more frequent than that of the hollow organs (27 v.s. 5 organs). Four of the 23 cases died (the mortality rate was 19%). Three of the 4 cases died due to the hepatic ruptures. Traumatic hernia of the abdominal wall is very rare. Though the diagnosis of the traumatic hernia is easy, the diagnosis of the injury of the intraperitoneal organs is difficult. The intraperitoneal organs, especially intestines, should be investigated carefully at the operation.
日本小児外科学会の論文
1985-10-20