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, explorati...

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Bibliographic Details
Published inActa chirurgica belgica Vol. 108; no. 2; p. 251
Main Authors Apostolidis, S, Papavramidis, T S, Michalopoulos, A, Papadopoulos, V N, Paramythiotis, D, Harlaftis, N
Format Journal Article
LanguageEnglish
Published England 01.03.2008
Subjects
Abdominal Injuries - complications
Accidents, Traffic
Adult
Female
Groin
Hematoma - diagnosis
Hematoma - etiology
Hematoma - therapy
Humans
Magnetic Resonance Imaging
Wounds, Nonpenetrating
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Summary: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.
ISSN:0001-5458
DOI:10.1080/00015458.2008.11680214