Abstract
An incisional hernia develops in the scar of a surgical incision. Spontaneous rupture of an abdominal hernia is very rare and usually occurs in incisional or recurrent groin hernia. This is a report of 50-year-old female who presented with sudden spontaneous rupture of an incisional hernia. This hernia was repaired by mesh repair after repositioning the bowel into the peritoneal cavity and excising the excess atrophied skin. The patient recovered well and was discharge after the 4th day. Spontaneous rupture of abdominal hernia is a very rare complication. It is a potentially fatal but preventable clinical condition and should be managed by primary repair if there is only minimal contamination and by secondary repair if grossly contaminated.
Highlights
Incisional hernia is the failure of the abdominal wall fascia to heal properly after laparotomy and is an important postoperative problem
Spontaneous rupture of abdominal hernia is very rare and usually occurs in incisional and recurrent groin hernia.[1]. These cases should be managed by primary repair if there is no gangrenous segment and the contamination is minimal, or by delayed repair if there is gross contamination and resection and if anastomosis is required. We present one such case in an elderly female who underwent laparotomy and developed rupture of incisional hernia
Incisional hernia is common and it may complicate up to 11% of abdominal wounds after 10 years
Summary
Incisional hernia is the failure of the abdominal wall fascia to heal properly after laparotomy and is an important postoperative problem. A thin-walled large incisional hernia may ulcerate at its fundus so that omentum or bowel protrudes or there is even the development of an intestinal fistula. Spontaneous rupture of abdominal hernia is very rare and usually occurs in incisional and recurrent groin hernia.[1] These cases should be managed by primary repair if there is no gangrenous segment and the contamination is minimal, or by delayed repair if there is gross contamination and resection and if anastomosis is required. We present one such case in an elderly female who underwent laparotomy and developed rupture of incisional hernia
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