Incisional hernia

Case contributed by Dr Maulik S Patel

Presentation

H/o abdominal pain, vomiting - 1 day. P/H/o laparotomy and ? 2ndry suturing about 30 yrs back.

Patient Data

Age: about 65 - 70 yrs
Ultrasound

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.

Case Discussion

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.

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Case information

rID: 36492
Case created: 26th Apr 2015
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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