Non-traumatic hernia of the lateral abdominal wall in a patient infected with the human immunodeficiency virus

Abstract

INTRODUCTION There are several classifications for abdominal hernias, and a non-traumatic lateral wall hernia (LAWH) is a rare type. We report the first case of a patient with LAWH infected with the human immunodeficiency virus (HIV). CASE HISTORY A 53-year-old HIV-infected male presented with an abdominal mass. The patient had a history of treatment with combination antiretroviral therapy. A LAWH was diagnosed based on physical examination and findings of computed tomography. Open mesh repair was undertaken successfully. The patient had no evidence of a recurrent hernia during 11 months of followup. CONCLUSIONS High intra-abdominal pressure and weak connective tissue can lead to LAWHs. Antiretroviral therapy and lipodystrophy can cause LAWHs in HIV-infected patients.

HIV patient with prolonged infection after hemicolectomy and repair of complicated hernia. Mini-review of a rare successful surgical outcome

“…The standard open mesh or end-laparoscopic intervention is often avoided when an infection is anticipated to prevent the need for mesh removal even though isolated reports have indicated the safe use in dirty and contaminated wounds [5] , [21] , [22] , [23] , [24] . Open mesh repairs have been reported in Amyand hernia after appendicectomy as well as non-traumatic abdominal wall hernia repairs in HIV patients on antiretroviral treatment without post-operation infection [25] , [26] . Bassini and Shouldice methods are commonly used to repair complicated or hernias with anticipated infections worldwide [27] , [28] .…”