Abstract
Background: Hernia is a protrusion or abnormal opening on the abdominal wall fascia due to anatomical weakening. Several cases may progress into a strangulated case leading to necrosis, which requires immediate diagnosis and intervention to prevent complications. Case presentation: A 62-year-old woman presented with abdominal pain in all areas and decreased appetite. The patient also complained of not defecating for the last two days. Physical examinations showed abdominal distention and diminished bowel sounds. Abdominal radiographs showed features of intestinal obstruction. The patient then underwent exploratory laparotomy, which showed strangulated hernia and necrotic ileum. Intestinal resection followed by end-to-side anastomosis was conducted and the patient was strictly monitored postoperatively. No complication and/or significant findings during the postoperative period. Discussion: Resection and anastomosis in strangulated hernia are interventions conducted following the finding of necrotic ileum for 10 cm with ileocaecal junction coils. Conclusion: This case is considered a rare case in Southwest Sumba. The patient was treated with limited facilities but had a remarkable outcome.
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