Anterior abdominal wall incisional hernias can occasionally present as acute intestinal obstruction. Incisional hernias occurring at uncommon sites or after uncommon surgeries may contribute to diagnostic dilemmas. Herein, we report the case of a 53-year-old lady who presented with obstructed incisional hernia following autologous iliac bone grafting. We report this as a rare case of obstructed incisional hernia following an orthopedic procedure.
Jejunal diverticulosis is a rare condition seen in 1-2% of the population and is asymptomatic in 80% of its patients. It can however rarely produce life threatening complications such as perforation, bleeding and obstruction. Diagnosis is often delayed in such patients causing high mortality. We report a 79 year old gentleman presenting with intestinal obstruction for 2 days with peritoneal signs. CT revealed jejunal dilatation with twisting of mesentery with whirlpool sign and closed loop obstruction of jejunum. A differential diagnosis of Jejunal diverticulosis should be considered when encountering patients in the elderly age group in an emergency setting.
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