PMC6609734_01
Enhanced computed tomography scan on admission.The scan revealed a defect in the abdominal wall (circle), herniation of the cecum and small bowel loops (arrow), free air in the abdomen (arrowheads), and an acute traumatic dissection of the abdominal aorta and common iliac artery (dotted circle).
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An enhanced computed tomography scan of the abdomen showed a defect of the abdominal wall, herniation of the cecum and small bowel loops, free air in the abdomen, and acute traumatic dissection of the abdominal aorta and common iliac arteries (Fig. 1).
Illustrations of procedures for abdominal wall closure.Abdominal wall hernia repair was performed with a negative pressure wound therapy devices (not shown). On postoperative day 2, when removing the device, the abdominal wall appeared lax and several sutures were placed in the fascia. After repeating this process daily, the abdominal wall was completely closed by day 10.
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A series of these procedures is shown in Fig. 2.
Computed tomography scan 16 days after ileostomy and colostomy.The patient complained of nausea and vomited on day 16. Computed tomography scan revealed dilation of the small bowel (circle) and angulation in the abdominal wall impinging on the ileostomy (arrow).
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A computed tomography scan of the abdomen showed that dilation of the entire small bowel and angulation of the abdominal wall impinging on the ileostomy (Fig. 3).