Panniculus morbidus resection complicated by multiple gastrointestinal hernias: A case report

Area of Science:

• General Surgery
• Obesity Medicine
• Plastic Surgery

Background:

• Obesity and its complications are increasing.
• Panniculus morbidus is a rare, severe complication of abdominal obesity.
• The pannus can cause mobility issues and skin problems.

Observation:

• A 39-year-old female with a BMI of 57 kg/m² presented with hernias and a large pannus.
• The patient experienced significant abdominal and back pain.
• A massive panniculectomy with hernia repair was performed.

Findings:

• Panniculus morbidus is debilitating but treatable with panniculectomy.
• Ventral and umbilical hernias often accompany panniculus morbidus.
• Combined panniculectomy and hernia repair can restore function.

Implications:

• This case shows combined surgery can manage panniculus morbidus and hernias.
• The procedure improved patient ambulation, weight loss, and quality of life.
• Surgical intervention offers a path to improved functional status.