Abdominal wall reconstruction after emergent surgery for fistulizing incarcerated ventral wall hernia in morbidly obese patient

• Authors: Goran Pavlek , Ivan Romic , Hrvoje Silovski , Ana Ettinger , Jurica Zedelj

Abstracts

EN

Background: Incarcerated abdominal wall hernias may have a variety of manifestations and the most dreaded consequence is strangulation leading to obstruction and perforation of hollow viscus. Very rarely, such a perforation presents with fistulization into the abdominal wall and skin, which is often not considered but may complicate the management approach.
Case presentation: We reported on presentation and management of a 56-year-old morbidly obese male with a fistulizing incarcerated ventral wall hernia and postoperative abdominal wall necrosis.
Discussion: Contained bowel perforations caused by ventral hernia incarceration are a rare and not well recognized problem and are confined to a handful of case reports in the surgical literature.
Conclusion: The most recognized complications of ventral hernias are incarceration and strangulation leading to obstruction and consequent perforation; however, as the case described below reveals, intestinal perforation and bowel-skin fistulization may occur as unusual incident. Management should involve operative reduction, resection of the involved bowel and staged repair of abdominal wall defect.

Keywords

EN

ventral hernia; Bowel perforation; abdominal defect; VAC

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2020
• Volume: 94
• Issue: 2
• Pages: 69-73

Dates

published

2022

Contributors

author

Goran Pavlek

author

Ivan Romic

author

Hrvoje Silovski

author

Ana Ettinger

author

Jurica Zedelj

Identifiers

DOI

10.5604/01.3001.0014.475

Biblioteka Nauki

58502099