Incarcerated "reverse" incisional hernia

Case contributed by Dr Chris O'Donnell

Presentation

Developed severe central abdominal pain some weeks following extensive mesh abdominal incisional hernia repair

Patient Data

Age: 65
Gender: Female

Small defect in the junction of the rectus abdominis muscles towards the upper end of the mesh repair allowing abdominal wall fat to hernite into the abdominal cavity, displacing the mesh repair (as indicated by metallic markers) posteriorly. Note the herniated fat is markedly inflammed indicating that it is incarcerated and ischaemic.

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Case information

rID: 26579
Case created: 29th Dec 2013
Last edited: 20th Oct 2016
Inclusion in quiz mode: Included

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