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

Incisional hernias complicate 2%–20% of laparotomies. They rarely eviscerate spontaneously, and when they do they pose a serious threat to the protruding bowel and the patient's life if timely intervention is not instituted. We reported a case of spontaneous rupture of an incisional hernia in a...

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Bibliographic Details
Published inJournal of acute disease Vol. 5; no. 4; pp. 348 - 349
Main Authors Osei-Tutu, Ethel, Osonuga, Ayokunle
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.07.2016
School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana
Wolters Kluwer Medknow Publications
Subjects
Evisceration
General surgery
Ghana
Incision hernia
Spontaneous
Evisceration
Incision hernia
Ghana
General surgery
Spontaneous
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Summary:Incisional hernias complicate 2%–20% of laparotomies. They rarely eviscerate spontaneously, and when they do they pose a serious threat to the protruding bowel and the patient's life if timely intervention is not instituted. We reported a case of spontaneous rupture of an incisional hernia in a 56 years old female who underwent laparotomy twenty years before presentation to the Accident and Emergency Department of Cape Coast Teaching Hospital. She presented with a 4-h history of evisceration of bowel after bouts of cough. An emergency laparotomy and hernia repair was done after initial resuscitation. The patient's recovery was uneventful and shortly after tested positive for HIV I. She was however lost to follow up. Neglect for early operative intervention or delay in seeking the treatment for an incisional hernia increases the risk of rupture.
ISSN:2221-6189
2221-6189
DOI:10.1016/j.joad.2016.02.001