Laparoscopic approach for a spontaneous posterior rectus sheath hernia

Loureiro, Rita; Marques, Adriano; Constantino, J.; Casimiro, Carlos

doi:10.1093/jscr/rjz161

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…The diagnosis of a posterior rectus sheath hernia is challenging as it is often not visible or palpable because of the overlying abdominal wall musculature [ 3 , 9 ]. This is even harder in acute postoperative patients who have had abdominopelvic surgery where it is difficult to distinguish hernia pain from regular postoperative pain and easy to assume that abdominal distension is rather secondary to either gas insufflation (if post-laparoscopy), a postoperative ileus or, in Ms KF’s case, her post-partum state.…”

Section: Discussionmentioning

confidence: 99%

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Strangulated interstitial interparietal hernia following lower segment caesarean section: a case report

Garrett

Wijayawardana

Morris

2023

Journal of Surgical Case Reports

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Interparietal hernias are rare and occur most commonly in the long-term postoperative setting following abdominopelvic surgery. This case report describes the development of a strangulated interparietal hernia through a defect in the posterior rectus sheath 4 days post-lower segment caesarean section (LSCS) in a 36-year-old female. Whilst she had an acute abdomen, she did not have a palpable incisional hernia. Her interparietal hernia was identified via a computed tomography scan of her abdomen and pelvis. She underwent a midline laparotomy where ischaemic small bowel was found within her hernia. This was resected and she had an unremarkable recovery. This case is the first of its kind and highlights the diagnostic challenge of interparietal hernias in acute postoperative patients as well as the importance of having a low threshold for suspicion for complicated interparietal hernias in patients with an acute abdomen following LSCS.

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Section: Discussionmentioning

confidence: 99%

“…In select cases of posterior rectus sheath hernias with symptoms of bowel obstruction, a diagnostic laparoscopy may be indicated [ 9 ]. However, the extent of lateralisation of Ms KF’s hernia sac (containing bowel) precluded safe port placement for a diagnostic laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Strangulated interstitial interparietal hernia following lower segment caesarean section: a case report

Garrett

Wijayawardana

Morris

2023

Journal of Surgical Case Reports

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“…As such, we present an interesting case of an elderly female who was found to have a posterior rectus sheath hernia during a diagnostic laparoscopy for chronic abdominal pain. [2][3][4] An 80-year-old female with obesity presented to general surgery clinic with a 2-3 month history of persistent right lower quadrant and periumbilical abdominal pain, intermittent nausea, and constipation. Her past surgical history is significant for open umbilical hernia repair with mesh, total abdominal hysterectomy, and laparoscopic cholecystectomy.…”

mentioning

confidence: 99%

“…As such, we present an interesting case of an elderly female who was found to have a posterior rectus sheath hernia during a diagnostic laparoscopy for chronic abdominal pain. 2-4…”

mentioning

confidence: 99%

Posterior Rectus Sheath Hernia Causing Chronic Abdominal Pain

Hammond

Jones-Sayyid

Langer³

et al. 2023

The American Surgeon™

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Posterior rectus sheath hernias are rare hernias that can be difficult to diagnose due to unreliable physical exam characteristics and subtle radiological findings. We present an interesting case of an elderly female found to have a posterior rectus sheath hernia during a diagnostic laparoscopy for chronic abdominal pain. CT evaluation revealed possible appendicitis and laxity of the abdominal wall of the right lower quadrant. Intraoperatively, a 4 cm hernia defect in the right lateral abdominal wall was appreciated. Appendectomy and herniorrhaphy with mesh repair were performed. Postoperative review of CT imaging and intraoperative photographs determined that this hernia defect is a posterior rectus sheath hernia likely caused by trocar placement from previous laparoscopic surgery. This report contributes to the limited body of the literature for this rare type of hernia. Posterior rectus sheath hernias should be considered in differential diagnoses for patients presenting with chronic abdominal pain without clear etiology.

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Posterior Rectus Sheath Defect with Interparietal Hernia Causing a Small Bowel Obstruction

Vegas

Shea

Sparzak

2022

Case Reports in Surgery

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Posterior rectus sheath hernias are exceptionally rare, with around twelve reported cases to date. This case report examines a 38-year-old female who demonstrated symptoms of intermittent small bowel obstruction five days following an abdominal hysterectomy. The patient was diagnosed via CT to have a small bowel obstruction within the rectus abdominis. Exploratory laparotomy determined the etiology to be an interparietal hernia through a posterior rectus wall defect, which was repaired with primary closure. Postoperatively, the patient was again unable to tolerate food. Repeat CT showed concern for repeat SBO, though symptoms subsided without intervention. The patient had no complaints during her follow up at one month. This report was aimed at building upon the few reported cases as well as enumerating potential risk factors that may allow for the consideration of this diagnosis in the future.

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Laparoscopic approach for a spontaneous posterior rectus sheath hernia

Cited by 6 publications

References 7 publications

Strangulated interstitial interparietal hernia following lower segment caesarean section: a case report

Strangulated interstitial interparietal hernia following lower segment caesarean section: a case report

Posterior Rectus Sheath Hernia Causing Chronic Abdominal Pain

Posterior Rectus Sheath Defect with Interparietal Hernia Causing a Small Bowel Obstruction

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