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A 72-year-old woman with a past medical history of atrial fibrillation on warfarin and end-stage renal failure requiring hemodialysis presents with a worsening periumbilical bulge and severe abdominal pain and vomiting. Physical examination reveals a tender, discolored periumbilical swelling, concerning for a strangulated hernia.

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Strategies for Older Patients Undergoing Emergency Laparotomy

  • 章节

  • 发表日期：

    2025年

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  • Min-Li Kang,
  • Kurihara Hayato,
  • Jerry Tiong-Thye Goo

摘要

A 72-year-old woman with a past medical history of atrial fibrillation on warfarin and end-stage renal failure requiring hemodialysis presents with a worsening periumbilical bulge and severe abdominal pain and vomiting. Physical examination reveals a tender, discolored periumbilical swelling, concerning for a strangulated hernia.