Incarcerated massive incisional hernia: extensive necrosis of the colon in a very obese patient. Surgical treatment and vacuum-assisted closure therapy: a case report

Abstract

We discuss a diabetic obese patient with an extensive necrosis of the ascending and transverse colon plus segmental necrosis of the small bowel incarcerated in a massive median incisional hernia below the umbilicus. After a blood test and an abdominal CT scan (without contrast dial), the patient underwent an urgent operation. We performed an extended right hemicolectomy, multiple segmental small bowel resections and a terminal ileostomy. The defect of the abdominal wall was treated with vacuum-assisted closure (VAC) therapy with good results.

Incarcerated incisional hernia of the sigmoid colon after appendectomy: A case report

“…The small bowel and omentum are commonly herniated organs, but unusual organs such as the bladder and colon may herniate through the abdominal wall defect [5], [6], [7], [8]. The ascending and descending colon are fixed into the retroperitoneum, whereas the transverse and sigmoid colon are not, which can allow these bowel segments to herniate through a weak abdominal wall just as small bowel loops do.…”

Incarcerated Incisional Hernia: Strangulated Transverse Colon with Perforation Associated with Abscess Formation

“…Defects in the abdominal wall can range from a few centimeters to extensive evisceration. Bowel loops often enter these defects, but strangulation and ischemia occur only rarely …”