title: Diagnosis of a Strangulated Laparoscopic Incisional Hernia with Point-of-Care Ultrasonography.
abstract: The use of point-of-care ultrasound for the diagnosis of bowel obstructions and hernias is becoming increasingly common in the emergency department (ED). Using a relatively rare case of an incisional port hernia, we demonstrate the ultrasound findings of a strangulated hernia causing a partial small bowel obstruction. A 46-year-old female presented four days following a laparoscopic surgery complaining of abdominal pain, nausea and lack of bowel movements. There was a palpable mass in the left lower quadrant under the 12mm trocar port incision. ED point-of-care ultrasound revealed herniated akinetic loops of bowel through her laparoscopy incision. This is the first case report to describe the use of point-of-care ultrasound for the diagnosis of a strangulated incisional port hernia at the bedside.
authors.affiliation: University of Toronto, Division of Emergency Medicine, Toronto, Ontario, Canada.
authors.forename: Niran
authors.initials: N
authors.lastname: Argintaru
authors.affiliation: University of Toronto, Division of Emergency Medicine, Toronto, Ontario, Canada.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Den
authors.affiliation: University of Toronto, Division of Emergency Medicine, Toronto, Ontario, Canada ; Sunnybrook Health Sciences Centre, Toronto, Canada.
authors.forename: Jordan
authors.initials: J
authors.lastname: Chenkin
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology; D004636:Emergency Service, Hospital; D005260:Female; D046449:Hernia, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D000069290:Incisional Hernia / Q000000981:diagnostic imaging* / Q000601:surgery; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D019095:Point-of-Care Systems; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography; D014550:Urinary Incontinence, Stress / Q000601:surgery*