Naslov
Abdominal wall reconstruction after emergent surgery for fistulizing incarcerated ventral wall hernia in morbidly obese patient

Autori
Pavlek, Goran ; Romić, Ivan ; Silovski, Hrvoje ; Ettinger, Ana ; Zedelj, Jurica

Izvornik
Polski przegląd chirurgiczny = Polish journal of surgery (0032-373X) 94 (2020), 2; 69-73

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, stručni

Ključne riječi
abdominal defect, bowel perforation, VAC, ventral hernia

Sažetak
Incarcerated abdominal wall hernias may have a variety of manifestations and the most dreaded consequence is strangulation leading to obstruction and perforation of hollow viscus. Very rarely, such a perforation presents with fistulization into the abdominal wall and skin, which is often not considered but may complicate the management approach. &lt ; br/&gt ; Case presentation: We reported on presentation and management of a 56-year-old morbidly obese male with a fistulizing incarcerated ventral wall hernia and postoperative abdominal wall necrosis. &lt ; br/&gt ; Discussion: Contained bowel perforations caused by ventral hernia incarceration are a rare and not well recognized problem and are confined to a handful of case reports in the surgical literature. &lt ; br/&gt ; Conclusion: The most recognized complications of ventral hernias are incarceration and strangulation leading to obstruction and consequent perforation ; however, as the case described below reveals, intestinal perforation and bowel-skin fistulization may occur as unusual incident. Management should involve operative reduction, resection of the involved bowel and staged repair of abdominal wall defect.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA