2013
DOI: 10.1016/j.jviscsurg.2013.09.007
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Transiliac hernia after bone graft

Abstract: Lumbar hernias, namely transiliac hernias, are not frequent events and are almost always associated with bone graft harvesting from the iliac crest. We describe a case of transiliac hernia 10 years after bone graft harvest, the patient presenting with right colon incarceration. Diagnosis was made by CT scan. The hernia was repaired with a composite polypropylene-PTFE mesh (Bard(®)).

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“…Our case highlights the need for high clinical suspicion of a transiliac bone hernia in patients with previous relevant orthopaedic interventions, who present with features of intestinal obstruction, as highlighted by the previous very limited reports in the literature. 1,2 Since clinical examination is usually insufficient to establish the diagnosis, we advocate urgent performance of abdominopelvic computed tomography for diagnostic and preoperative planning purposes, followed by prompt surgical intervention, with liberal use of prosthetic mesh to reduce the chance of recurrence of the hernia.…”
Section: Case Descriptionmentioning
confidence: 99%
“…Our case highlights the need for high clinical suspicion of a transiliac bone hernia in patients with previous relevant orthopaedic interventions, who present with features of intestinal obstruction, as highlighted by the previous very limited reports in the literature. 1,2 Since clinical examination is usually insufficient to establish the diagnosis, we advocate urgent performance of abdominopelvic computed tomography for diagnostic and preoperative planning purposes, followed by prompt surgical intervention, with liberal use of prosthetic mesh to reduce the chance of recurrence of the hernia.…”
Section: Case Descriptionmentioning
confidence: 99%