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Posterior Rectus Sheath Defect with Interparietal Hernia Causing a Small Bowel Obstruction
Austin Vegas1, Caroline Shea2, Paul Sparzak2
1Campbell University School of Osteopathic Medicine, 4350 US-421 Lillington, NC 27546, USA.
Case Reports in Surgery
|April 15, 2022
Summary
This case report details a rare posterior rectus sheath hernia causing small bowel obstruction after hysterectomy. Prompt diagnosis and repair are crucial for managing this exceptional surgical complication.
Area of Science:
- Abdominal Surgery
- Gastrointestinal Surgery
- Hernia Repair
Background:
- Posterior rectus sheath hernias are exceptionally rare, with only about twelve cases reported historically.
- Abdominal hysterectomy is a common surgical procedure, but can be associated with rare complications.
Observation:
- A 38-year-old female presented with symptoms of intermittent small bowel obstruction five days post-abdominal hysterectomy.
- Computed tomography (CT) revealed a small bowel obstruction within the rectus abdominis muscle.
Findings:
- Exploratory laparotomy identified an interparietal hernia through a posterior rectus wall defect as the cause.
- The hernia was successfully repaired using primary closure.
Implications:
- This case adds to the limited literature on posterior rectus sheath hernias.
- Identifying potential risk factors may aid in the future diagnosis of this rare condition.
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