title: A rare case of early onset type of abdominal trocar site hernia (TSH) with atypical externalizing in two-step: multidetector row CT diagnosis.
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.
authors.affiliation: Department of Diagnostic Radiology, Clinique St Luc, Bouge, Belgium. bcoulier@skynet.be
authors.forename: B
authors.initials: B
authors.lastname: Coulier
authors.forename: A
authors.initials: A
authors.lastname: Ramboux
authors.forename: F
authors.initials: F
authors.lastname: Pierard
mesh_terms: D000290:Adnexa Uteri / Q000601:surgery; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006547:Hernia / Q000000981:diagnostic imaging* / Q000209:etiology*; D059685:Herniorrhaphy / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000295:instrumentation; D008875:Middle Aged; D061330:Multidetector Computed Tomography / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D011856:Radiographic Image Enhancement / Q000379:methods; D013525:Surgical Instruments / Q000009:adverse effects
chemical_list: D003287:Contrast Media