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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.

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Murine Ileocolic Bowel Resection with Primary Anastomosis

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Published on: October 29, 2014

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.