Bråck
Senast uppdaterad: Senast reviderad:
Sakkunnig:Anna Nager
Definition:
Utbuktning från bukhålan där inre strukturer kan passera ut genom en försvagad del. Ljumskbråck, femoralbråck och navelbråck är de vanligaste typerna.
Förekomst:
Vanligt tillstånd.
Symtom:
Tyngdkänsla är vanligt. Bråcket kan ibland ge obehag innan det är synligt. Inklämt bråck ger akuta och kraftiga smärtor.
Kliniska fynd:
Resistens som blir synlig när patienten står, hostar eller pressar ut magen på annat sätt.
Diagnostik:
Inga relevanta bildundersökningar.
Behandling:
Vid ljumskbråck föreligger operationsindikation hos små barn och unga vuxna, hos män enbart vid inklämningsrisk eller symtom som påverkar det dagliga livet. Hos kvinnor är det indicerat med operation av ljumskbråck, med eller utan symtom och oavsett lokalisation.
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- Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet
Tidigare sakkunniga
- Henrik Forssell, docent och överläkare, Kirurgkliniken, Blekingesjukhuset, Karlskrona