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Spontaneous Evisceration of Small Bowel in Incisional Hernia

Snehasis Das1, Oseen Shaikh1, Naveen Kumar Gaur1

  • 1Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Cureus
|April 4, 2022
PubMed

Insights

Spontaneous incisional hernia rupture with organ evisceration is a rare, life-threatening complication. This case highlights successful surgical repair and recovery in a patient with small bowel evisceration.

Area of Science:

  • Abdominal Surgery
  • Surgical Complications
  • Hernia Repair

Background:

  • Incisional hernias can lead to severe complications, including spontaneous rupture and organ evisceration.
  • These events are rare but carry a high risk of mortality if not managed promptly.
  • Potential complications include incarceration, strangulation, necrosis, and gangrene.

Observation:

  • A 48-year-old female with a prior midline laparotomy presented with acute spontaneous evisceration of the small bowel.
  • This rare event necessitated immediate surgical intervention.
  • The patient had a history of midline laparotomy, a common surgical approach.

Findings:

  • Surgical management involved exploratory laparotomy, adhesiolysis, and primary abdominal wall defect repair.
  • The patient's condition improved postoperatively without any immediate complications.
  • The successful outcome underscores the importance of timely surgical intervention.

Implications:

  • This case adds to the limited documented instances of spontaneous incisional hernia rupture with evisceration.
  • Prompt surgical management is crucial for favorable outcomes in such life-threatening scenarios.
  • Further research into preventative measures and optimized surgical techniques for incisional hernias is warranted.
Keywords:
eviscerationincisional hernialaparotomymeshplastyspontaneous rupture

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