Spontaneous evisceration through an incisional hernia: A rare complication in surgical practice

Osei‐Tutu, Ethel; Osonuga, Ayokunle

doi:10.1016/j.joad.2016.02.001

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Complications in the form of adhesions, incarcerations, strangulations, or frank bowel gangrene have been documented well on the side of incisional hernia [ 6 ]. Most cases present with intestinal obstruction with completely stable hemodynamics to a collapsed cardiopulmonary system due to vicious shock.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Das¹,

Shaikh²,

Gaur³

et al. 2022

Cureus

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Spontaneous rupture of an incisional hernia leading to the evisceration of the intra-abdominal organs is one of the malefic complications seen in these patients. In addition to its rarity, it gets accompanied by possible lethality in the form of incarceration, sequential strangulation, necrosis, and eventual gangrene. If not treated aptly, the clinical scenario could lead to a life-threatening condition with a delay in timely intervention. With less than 20 documented cases, herein, we report a 48-year-old female with a previous history of a midline laparotomy who presented to us with an acute spontaneous evisceration of the small bowel. The patient was immediately decided on surgical management with exploratory laparotomy, adhesiolysis, and primary repair of the abdominal wall defect. Postoperatively, the patient improved without any complications.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Das¹,

Shaikh²,

Gaur³

et al. 2022

Cureus

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“…We report an unusual presentation of spontaneous rupture and evisceration of incisional hernia with strangulation of small bowel. This is a rare complication of an abdominal incisional hernia, which is a defect in the abdominal wall that lies close to a scar from a previous full-thickness abdominal incision [ 2 , 3 ]. Similar case reports published after 2010 are summarized in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

“…In the majority, incisional hernias are identified incidentally on examination. Nevertheless, delay in repair of incisional hernias can lead to major complications such as bowel incarceration, strangulation, ischaemia, and even bowel necrosis and perforation [ 2 ]. However, spontaneous rupture and strangulation is an unusual complication [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Evisceration of Incisional Hernia with Strangulation of Small Bowel: A Life Threatening Complication

Thalahitiyage¹,

Ravindrakumar²,

Nandasena³

et al. 2021

Case Reports in Surgery

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Spontaneous evisceration of abdominal viscera is a rare complication of incisional hernia which could pose a serious threat to life if intervention is delayed. We report a case of a 62-year-old female with a history of curative resection for stage 1 endometrial adenocarcinoma 3 years ago, presenting with spontaneous evisceration of incisional hernia with strangulation of small bowel. Immediate resuscitation followed by emergency surgery was mandatory. During surgery, priority should be given to release the strangulation as soon as possible and the type of repair would depend on the viability of the bowel and the anatomy of the incisional hernia.

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