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Original Article

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

Authors:

Dr B. Coulier ,

MD, Department of Diagnostic Radiology, Clinique St Luc, Bouge (Namur), Belgium, BE
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A. Ramboux,

Department of Visceral Surgery, Clinique St Luc, Bouge (Namur), Belgium, BE
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F. Pierard

Department of Visceral Surgery, Clinique St Luc, Bouge (Namur), Belgium, BE
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Abstract

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.
How to Cite: Coulier DB, Ramboux A, Pierard F. A Rare Case of Early Onset Type of Abdominal Trocar Site Hernia (TSH) with Atypical Externalizing in Two-Step: Multidetector Row CT Diagnosis. Journal of the Belgian Society of Radiology. 2014;97(5):308–11. DOI: http://doi.org/10.5334/jbr-btr.1337
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Published on 01 Sep 2014.
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