Diagnosis of a Strangulated Laparoscopic Incisional Hernia with Point-of-Care Ultrasonography

West J Emerg Med. 2015 May;16(3):450-2. doi: 10.5811/westjem.2015.3.25498. Epub 2015 Apr 9.

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.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnostic imaging*
  • Abdominal Pain / etiology
  • Emergency Service, Hospital
  • Female
  • Hernia, Abdominal / diagnostic imaging
  • Hernia, Abdominal / surgery
  • Humans
  • Incisional Hernia / diagnostic imaging*
  • Incisional Hernia / surgery
  • Intestinal Obstruction / diagnostic imaging
  • Intestinal Obstruction / etiology
  • Laparoscopy / adverse effects*
  • Middle Aged
  • Pelvic Organ Prolapse / surgery*
  • Point-of-Care Systems*
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / surgery
  • Treatment Outcome
  • Ultrasonography
  • Urinary Incontinence, Stress / surgery*