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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 21, No. 1, 2016, pp. 168-169
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Bioline Code: js16019
Full paper language: English
Document type: Case Report
Document available free of charge
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East and Central African Journal of Surgery, Vol. 21, No. 1, 2016, pp. 168-169
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Spontaneous Rapture of an Incisional Hernia: A Case Report.
Mwesigye, I
Abstract
An incisional hernia develops in the scar of a surgical incision. Rarely, a particularly
thin-walled large incisional hernia may actually ulcerate at its fundus so that
omentum protrudes or there is even the development of an intestinal fistula.
Spontaneous rupture of an abdominal hernia is very rare and usually occurs in
incisional or recurrent groin hernia1. Von Helwig2 in 1958 reported 47 cases of
spontaneous exteriorization of bowel through abdominal hernia, out of these 17
cases were through incisional hernia while others were through inguinal, femoral,
umbilical and epigastric hernias. The site of rupture is different in diverse studies.
Hartley3 and Hamilton4 reported rupture through thr lower midline incision while
Aggarwal5 found herniation after upper abdominal surgery following perforated
duodenal ulcer.
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© Copyright 2016 - Journal of Applied Sciences and Environmental Management
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