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08:20
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
Unusual hernia in a colostomy closure site
Mohammad Howlader1, Thishi Surendranathan, Yasser Abdulaal
1Department of Surgery, Maidstone & Tunbridge Wells Hospitals NHS Trust, Maidstone, Kent, UK. m.howlader@ucl.ac.uk
Annals of the Royal College of Surgeons of England
|March 26, 2009
Summary
This case report details a rare interstitial hernia containing a gangrenous gallbladder, a condition previously unreported. This diagnostic challenge highlights the importance of considering unusual hernia contents in patients with prior abdominal surgery.
Area of Science:
- Abdominal Surgery
- Surgical Case Reports
- Gastrointestinal Surgery
Background:
- Interstitial hernias are rare, occurring between abdominal muscle layers.
- Previous transverse loop colostomy closure can predispose to abdominal wall defects.
- Gangrenous gallbladder within a hernia is an unprecedented presentation.
Observation:
- A patient with a history of colostomy closure presented with right iliac fossa mass and sepsis.
- Clinical presentation mimicked other conditions, posing a diagnostic challenge.
- Computed tomography scan revealed gallbladder and bowel loops within the hernial sac.
Findings:
- Intraoperative findings confirmed a gangrenous gallbladder within an interstitial incisional hernia.
- The hernia sac contained the gallbladder and intestinal loops.
- Retrograde cholecystectomy and hernia repair were successfully performed.
Implications:
- This case expands the differential diagnosis for abdominal masses post-colostomy.
- Highlights the potential for unusual contents in interstitial hernias.
- Emphasizes the need for thorough preoperative evaluation in complex abdominal wall reconstructions.
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