Uncommon presentation of ventral hernia with strangulated falciform ligament and small bowel: a case report and its implication

Shuvam C. P. Pati; Aditya A. Modi; Jitendra N. Senapati

doi:10.18203/2349-2902.isj20262008

Authors

Shuvam C. P. Pati Department of General Surgery, IMS and Sum Hospital, SOA University, Bhubaneswar, Odisha, India
Aditya A. Modi Department of General Surgery, IMS and Sum Hospital, SOA University, Bhubaneswar, Odisha, India
Jitendra N. Senapati Department of General Surgery, IMS and Sum Hospital, SOA University, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2349-2902.isj20262008

Keywords:

Incisional hernia, Falciform, Ventral hernia, Hernia repair, Strangulated hernia

Abstract

Ventral hernias containing the falciform ligament are exceedingly rare. Only a limited number of cases describing incisional hernias with falciform ligament involvement have been reported in the literature. We present a case of a strangulated ventral hernia containing the distal portion of the falciform ligament along with a gangrenous segment of the mid-ileum. The patient underwent emergency exploratory laparotomy with resection of the gangrenous ileal segment and excision of the involved falciform ligament, followed by primary end-to-end ileo-ileal anastomosis. This case highlights the diagnostic challenges and surgical considerations associated with this rare entity.

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