H/o abdominal pain, vomiting - 1 day. P/H/o laparotomy and ? 2ndry suturing about 30 yrs back.
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Three adjacent hernia defect in infra-umbilical anterior abdominal wall.
Non-reducible small bowel hernia is noted through one of the defect. Herniated loop was dilated without wall odema. Wall vascularity was presennt.
Non-reducible fat hernia is noted through the other two defect in infra-umbilical anterior abdominal wall.
Findings favour multiple incisional hernia defect. Small bowel hernia through one of the defect resulting in small bowel ostruction.
Laparotomy was done. Herniated loop was viable.