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Hematoma of bowel and cellulitis of the abdominal wall complicating herniography
Journal of Pediatric Surgery
|June 1, 1980
Abstract:
Two complications of herniography are presented: a hematoma of bowel causing intestinal obstruction, and a cellulitis of the abdominal wall causing septicemia. A technical error probably caused the hematoma and gastroenteritis played a role in the cellulitis. We have now narrowed our indications for herniography. We think it should be reserved for more difficult diagnostic problems such as recurrent inguinal hernia, recurrent hydrocele or eventration of the diaphragm.
Insights
Herniography can lead to serious complications like bowel obstruction and septicemia. Its use should be limited to complex diagnostic cases, such as recurrent hernias.
Area of Science:
- Medical Imaging
- Surgical Complications
- Diagnostic Procedures
Background:
- Herniography is an imaging technique used in diagnosing hernias.
- Potential complications associated with herniography require careful consideration.
Observation:
- This report details two cases of herniography complications: a bowel hematoma causing intestinal obstruction and abdominal wall cellulitis leading to septicemia.
- A technical error is suspected in the hematoma case, while gastroenteritis likely contributed to the cellulitis.
Findings:
- Herniography is associated with significant risks, including bowel obstruction and sepsis.
- Careful patient selection and procedural technique are crucial to minimize adverse events.
Implications:
- The indications for herniography should be narrowed to complex diagnostic challenges.
- Consideration should be given to alternative diagnostic methods for less complex cases.