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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: 2073-9990
Vol. 21, No. 1, 2016, pp. 168-169
Bioline Code: js16019
Full paper language: English
Document type: Case Report
Document available free of charge

East and Central African Journal of Surgery, Vol. 21, No. 1, 2016, pp. 168-169

 en 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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