Primary and Unusual Abdominal Wall Hernias

Salameh, J.R.

doi:10.1016/j.suc.2007.10.004

Cited by 72 publications

(69 citation statements)

References 32 publications

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“…7 Predisposing factors include age, obesity, extreme thinness, chronic bronchitis, strenuous physical activity, and trauma. 8 The loss of fatty tissue enables the rupture of neurovascular orifices that penetrate lumbodorsal fascia, and elevated intra-abdominal pressure acts as an initiating element. 9 The clinical presentation of Lumbar hernia is mysterious and non-specific.…”

Section: Discussionmentioning

confidence: 99%

Bilateral superior lumbar hernias: a case report and review of literature

Radhakrishna

Tanga²

2017

Int Surg J

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Primary lumbar hernias are uncommon. They present with backache, flank pain, occasional nausea, feeling of weight or dragging sensation in the lumbar region. When they are small, they may be unnoticed leading to significant morbidity with the patient seeking referrals and therapy with no resolution of symptoms. They should be repaired in time to avoid dreaded complications of obstruction and strangulation. A sixty-year man presented with swelling and pain in the left loin. On evaluation, he was found to have bilateral superior lumbar hernias, which was treated with mesh repair.

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Section: Discussionmentioning

confidence: 99%

Bilateral superior lumbar hernias: a case report and review of literature

Radhakrishna

Tanga²

2017

Int Surg J

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“…They can further be divided into true umbilical hernias, where the defect comes through the umbilical cicatrix, or paraumbilical, where the defect normally lies superiorly or inferiorly to the umbilicus. 1 Infantile umbilical hernias represent failure of umbilical vessels, urachal remnant and umbilical ring to condense into the umbilical cicatrix. 2 The majority of these regress and close spontaneously; few require operative intervention.…”

Section: Discussionmentioning

confidence: 99%

“…3 They are more common in women with increased intra-abdominal pressure linked in the aetiology of the condition. 1 With a larger defect, contents are less likely to strangulate. Several unusual contents of umbilical hernias have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…1 This has been superseded by a tension-free onlay mesh repair, now the treatment of choice in elective and emergency umbilical hernia repair.…”

Section: Online Case Reportmentioning

confidence: 99%

“…1 In adults, however, they often represent an acquired defect, possibly related to intra-abdominal pathology. We present our own experience of unusual contents of an umbilical hernia, its management and a brief literature review.…”

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confidence: 99%

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An ovary as unusual contents of an incarcerated umbilical hernia

Ahmed

Kamat

et al. 2014

annals

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We present the unusual case of a woman presenting with an incarcerated umbilical hernia. Intraoperatively, the contents of the hernia were found to be an ovary. We outline the clinical presentation of our patient, investigations and management as well as a discussion on unusual contents of umbilical hernias. To our knowledge, this is the first case of a non-malignant ovary incarcerated in an umbilical hernia. KEYWORDSHernia -Umbilicus -Surgical mesh -Ovary Accepted 6 September 2013; published online XXX CORRESPONDENCE TO Usama Ahmed, E: usama.x@hotmail.fr Umbilical hernias are common, occurring in 10% of all infants.1 In adults, however, they often represent an acquired defect, possibly related to intra-abdominal pathology. We present our own experience of unusual contents of an umbilical hernia, its management and a brief literature review. Case HistoryA 45-year-old nulliparous woman of Zimbabwean origin presented to our emergency department complaining of a 5-day history of an increasingly tender, swollen, irreducible mass at the umbilicus. On further enquiry, it transpired that this previously reducible mass had been present for approximately one year's duration, tender during her periods but otherwise asymptomatic. She reported regular, heavy periods with clots and flooding, and denied possible pregnancy. Her only past medical history was of a myomectomy for a uterine fibroid 11 years earlier. She denied a previous history of a childhood umbilical hernia. On systems review, she had no weight loss or loss of appetite. She had been opening her bowels normally, had not vomited, and was eating and drinking normally. On examination, the patient was haemodynamically stable and clinically well. Her abdomen was distended and a tense umbilical mass visible with overlying inflammatory hyperpigmented skin changes. Palpation of the abdomen revealed a tender, irreducible umbilical mass with a negative cough impulse. Abdominal ascites were absent. An irregularly contoured, 20-week sized fibroid uterus reaching the umbilicus and more palpable in the right abdomen was discovered.Blood tests revealed raised inflammatory markers and severe anaemia. The patient was transfused with two units of blood preoperatively and iron supplements were commenced. Erect abdominal radiography revealed no acute obstruction or perforation.Our main differential diagnosis was that of an incarcerated umbilical hernia with a differential of an abscess. The patient was consented for repair of umbilical hernia and operated on later that evening. A curvilinear subumbilical incision was used to approach the hernia. A true umbilical hernia coming through the umbilical stalk was visualised. The hernial sac was opened at the neck to reveal an ovary (Fig 1). The ovary was seen to be viable and so reduced through the defect. The defect was closed with an onlay polypropylene mesh and a suction drain left in situ. Postoperative ultrasonography showed multiple uterine fibroids with the largest measuring 8.6cm in diameter (Fig 2). The patient was disch...

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Small intestine obstruction secondary to obturator hernia

Yen

2017

Adv in Digestive Medicine

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Primary and Unusual Abdominal Wall Hernias

Cited by 72 publications

References 32 publications

Bilateral superior lumbar hernias: a case report and review of literature

Bilateral superior lumbar hernias: a case report and review of literature

An ovary as unusual contents of an incarcerated umbilical hernia

Small intestine obstruction secondary to obturator hernia

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