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Year : 2016  |  Volume : 5  |  Issue : 8  |  Page : 69-70

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

1 Department of Surgery, School of Medical Sciences, University of Cape Coast; Cape Coast Teaching Hospital, Cape Coast, Ghana
2 Department of Surgery, School of Medical Sciences, University of Cape Coast, Ghana

Correspondence Address:
Ayokunle Osonuga
School of Medical Sciences, University of Cape Coast, Cape Coast
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2250-9658.197444

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Incisional hernias complicate 2-20% of laparotomies. They rarely eviscerate spontaneously and pose a serious threat to the protruding bowel and the patient's life if timely intervention is not instituted. We report a case of spontaneous rupture of an incisional hernia in a 56-year-old female who underwent laparotomy 20 years before presentation at the Accident and Emergency Department of the Cape Coast Teaching Hospital. An emergency laparotomy was done where extensive adhesions between the bowel and the anterior abdominal wall were noted after initial resuscitation. The bowel was then returned into the peritoneal cavity, and the fascia closed with nylon 2. Excess lax and thinned out skin was trimmed and the skin closed with vicryl 0 and recovery was uneventful. Neglect for early operative intervention or delay in seeking the treatment for an incisional hernia increases the risk of rupture. Once ruptured, timely repair of the defect can be done if no gangrenous segment is found.

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