Strangulated incisional hernia after suprapubic catheter insertion: A case report

Mohanraj Harilingam,Fady Yanni,Hany Balamoun

doi:10.5348/ijcri-2013-03-284-cr-5

Mohanraj Harilingam, Fady Yanni + Show 1 more

Open Access

https://doi.org/10.5348/ijcri-2013-03-284-cr-5

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Abstract

Introduction: Hernia through the suprapubic catheterization site is extremely rare. Attention is required for such hernias as they can get easily complicated by obstruction and strangulation due to its narrow neck. These are lifethreatening complications. Case report: We report a case of a 65yearold man who presented with a strangulated incisional hernia through the SPC site. He was managed successfully by urgent surgical intervention. Conclusion: Incisional hernia through the suprapubic catheterization site should not be forgotten during examination of patients with abdominal pain, to ensure prompt surgical intervention in case of strangulated hernia.

Highlights

Hernia through the suprapubic catheterization site is extremely rare
We present a rare case of strangulated incisional hernia through the Suprapubic catheter (SPC) site
A 65yearold man of Asian origin presented with sudden onset of abdominal pain, abdominal wall lump and vomiting of six hours duration

Summary

INTRODUCTION

Suprapubic catheter (SPC) insertion is a very common urological procedure It is practiced widely by a variety of specialties to manage long standing voiding dysfunction or neuropathic bladders. We present a rare case of strangulated incisional hernia through the SPC site. A 65yearold man of Asian origin presented with sudden onset of abdominal pain, abdominal wall lump and vomiting of six hours duration Four years back, he had transurethral resection of the prostate. The local exploration was done though a vertical incision in the abdominal wall It confirmed a hernial sac with strangulated small bowel within the sac (Figure 2). Examination of the trocar site is necessary in a patient with a previous history of SPC insertion presenting with abdominal pain and discomfort. No drain was required and the patient had an uneventful postoperative recovery

DISCUSSION

CONCLUSION