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Spontaneous posterior rectus sheath hernia: a case report.

Chu Woon Ng¹, Anna Sandstrom², Grace Lim²

¹Department of Surgery, Bundaberg Base Hospital, Bundaberg, QLD, Australia. chuwoonn@yahoo.com.

Journal of Medical Case Reports

|April 16, 2018

Summary

This case report details a rare posterior rectus sheath hernia discovered incidentally in a patient with abdominal pain. The hernia, containing small bowel, was managed conservatively due to low strangulation risk.

Keywords:

Abdominal wall Case report Hernia Rectus sheath

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Published on: June 8, 2013

Area of Science:

Abdominal Wall Surgery
Gastroenterology
Radiology

Background:

Posterior rectus sheath hernias are exceptionally rare abdominal wall anomalies.
Limited literature exists on this uncommon condition, necessitating case reports for knowledge advancement.

Observation:

A spontaneous posterior rectus sheath herniation was incidentally found in a 79-year-old male.
The herniation was identified during evaluation for abdominal pain and diarrhea, later attributed to Salmonella gastroenteritis.
Computed tomography revealed small bowel loops within the rectus abdominis muscle.

Findings:

The patient presented with symptoms of gastroenteritis, with the hernia being an incidental finding.
No signs of bowel obstruction were present, and the risk of strangulation was deemed low.
Conservative management was chosen due to the absence of acute complications.

Implications:

This case contributes to the scarce medical literature on posterior rectus sheath hernias.
Reporting such rare conditions enhances diagnostic capabilities for unusual clinical presentations.
Informed clinical decision-making for rare hernias is supported by accumulating case evidence.