Spontaneous Evisceration of Incisional Hernia with Strangulation of Small Bowel: A Life Threatening Complication

Thalahitiyage, Nanduni; Ravindrakumar, Sanjeevan; Nandasena, Janaka; Krishnakumar, Arooran; KirushanthanVeerasingam,; Jayarajah, Umesh; Rodrigo, Verónica Sánchez

doi:10.1155/2021/6684360

Cited by 2 publications

(4 citation statements)

References 11 publications

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“…Incisional herniations have been a part of the surgical abdomen for as long as we know, with spontaneous ruptures being a rare phenomenon. It has been seen to complicate around 20% of laparotomies [ 2 ]. It has been reported most commonly in large incisional hernias or recurrent groin hernias where a thinned-out skin vitiates the mechanism for the evisceration [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…The highest give-away has been seen to be centered around the infraumbilical domain because of the absence of the posterior rectus sheath as an extra protection layer [ 1 ]. Although incisional hernia is fairly prevalent in approximately 20% of laparotomies, spontaneous evisceration due to factorial or non-factorial rupture of the hernia is an infamous rarity [ 2 ]. Most of the causalities infer a precipitating factor that would predispose to the occurrence of the phenomenon and, in the absence of congruous treatment, would contribute to the aggravated mortality.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Evisceration of Small Bowel in Incisional Hernia

Das¹,

Shaikh²,

Gaur³

et al. 2022

Cureus

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Spontaneous rupture of an incisional hernia leading to the evisceration of the intra-abdominal organs is one of the malefic complications seen in these patients. In addition to its rarity, it gets accompanied by possible lethality in the form of incarceration, sequential strangulation, necrosis, and eventual gangrene. If not treated aptly, the clinical scenario could lead to a life-threatening condition with a delay in timely intervention. With less than 20 documented cases, herein, we report a 48-year-old female with a previous history of a midline laparotomy who presented to us with an acute spontaneous evisceration of the small bowel. The patient was immediately decided on surgical management with exploratory laparotomy, adhesiolysis, and primary repair of the abdominal wall defect. Postoperatively, the patient improved without any complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Das¹,

Shaikh²,

Gaur³

et al. 2022

Cureus

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“…The evisceration of the bowel through the vaginal cuff, incisional hernia, and stoma has been described in the literature. 2 – 4 …”

Section: Introductionmentioning

confidence: 99%

“…The evisceration of the bowel through the vaginal cuff, incisional hernia, and stoma has been described in the literature. [2][3][4] The evisceration of the bowel through the rectum was first described in 1827 by Brodie 5 in a middle-aged female with a long-standing rectal prolapse after a violent straining during vomiting. Since then, only several rare cases of spontaneous anal evisceration have been reported worldwide.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous evisceration of small bowel through the rectum in the background of rectal prolapse

Basnayake

Jayarajah

Wijerathne³

2021

SAGE Open Medical Case Reports

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Small bowel evisceration secondary to rectal prolapse is an uncommon complication with significant morbidity and mortality if left untreated. We report a rare case of the spontaneous evisceration of the small bowel through the rectum in the background of rectal prolapse. A 73-year-old female presented to the emergency treatment unit with sudden worsening of her rectal procidentia (rectal prolapse) and pain for 3 h precipitated by straining at defecation. She had a history of complete rectal prolapse for 4 years and three uncomplicated vaginal deliveries. On examination, she was found to have evisceration of the small bowel through the anus without any evidence of strangulation. Emergency laparotomy was performed and small bowel was reduced into the abdomen with ease. She was found to have a linear tear on the anterior wall of the rectum. Primary repair of the rectal defect was carried out and a proximal defunctioning ileostomy was created. Histology was unremarkable and the recovery was uneventful. Old age, history of previous vaginal deliveries, and long-standing rectal prolapse were probable risk factors in this patient. Delay in treating this condition may result in significant morbidity and even mortality. Therefore, timely intervention is necessary.

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Spontaneous Evisceration of Incisional Hernia with Strangulation of Small Bowel: A Life Threatening Complication

Cited by 2 publications

References 11 publications

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Spontaneous evisceration of small bowel through the rectum in the background of rectal prolapse

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