Adhesions within abdominal wall hernia

Case contributed by Dr Heather Pascoe

Presentation

Large abdominal wall mass and intermittent severe abdominal pain with vomiting. Small hernia inferior to mass. ? Incarcerated hernia.

Patient Data

Age: 62
Gender: Female

Mild proximal small bowel dilation and faecalisation of small bowel content within a large ventral hernia indicating a low-grade small bowel obstruction. The transition point is within the hernia. Fibrous brands within the hernia sac are present, indicating adhesions. No evidence of perforation or bowel ischaemia.

Case Discussion

The hernia orifice is not the cause of obstruction in this case, as the hernia has a broad neck, and the transition point is within the hernia, not at the abdominal wall. Multiple fibrous brands are present, indicating adhesions within the hernia sac as the underlying aetiology. 

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Case information

rID: 58283
Published: 12th Feb 2018
Last edited: 13th Feb 2018
Inclusion in quiz mode: Included

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