Groin swelling, the anatomic way out of abdominal haematomas: a case report and explicative literature review.
This case report concerns a previously healthy thirty-five-year-old female with complaints of inguinal hernia that ultimately proved to be a retroperitoneal haematoma. The patient suffered from a car accident 5 months before admission and was hospitalized. During her prior hospitalization, explorative laparotomy revealed a haematoma of the mesentery. The haematoma was treated conservatively, with fluid resuscitation and rest. During her second admission, MRI of the inguinal region revealed localized haematoma. During inguinal exploration, a fluid-filled bluish indirect hernia sac was identified and found to be contoured by free-flowing, non-clotting blood. The postoperative course was uneventful, and the patient was discharged six days following surgery.
1st Propedeutic Surgical Department, A.H.E.P.A University Hospital, Aristotle's University of Thessaloniki, Thessaloniki, Greece.
S
S
Apostolidis
T S
TS
Papavramidis
A
A
Michalopoulos
V N
VN
Papadopoulos
D
D
Paramythiotis
N
N
Harlaftis
D000007:Abdominal Injuries / Q000150:complications*; D000063:Accidents, Traffic; D000328:Adult; D005260:Female; D006119:Groin; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D014949:Wounds, Nonpenetrating