Colonic incarceration in an adult umbilical hernia: case report and review of literature
Keywords:Umbilical hernia, Adult, Treatment, Complications
Umbilical hernia is one of the commonest ventral hernias constituting ten percent of all hernias. It affects obese individuals and has a high recurrence rate if repaired by suture techniques. Incarceration of the colon in an umbilical hernia is quite rare. A case of colonic incarceration in an umbilical hernia is presented to highlight the diagnostic and technical challenges in managing such a hernia. Contrast enhanced computerized tomography is essential to ascertain the contents. Open surgery is the main stay of treatment especially in such rare cases. A combined tissue and mesh repair provides excellent results.
Dabbas N, Adams K, Pearson K, Royle G. Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep. 2001;2:5.
Vagholkar K, Pawanarkar A, Vagholkar S, Iyengar M, Pathan K. Unusual encounters in a hernia sac. Int J Res Med Sci. 2016;4:1728-9.
Courtney CA, Lee AC, Wilson C, O’Dwyer PJ. Ventral hernia repair: a study of current practice. Hernia. 2003;7:44-6.
Aslani N, Brown CJ. Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis. Hernia. 2010;14:455-62.
Nguyen NT, Lee SL, Mayer KL, Furdui GL, Ho HS. Laparoscopic umbilical herniorrhaphy. J Laparoendosc Adv Surg Tech A. 2000;10:151-3.
Vagholkar K, Budhkar A, Gulati J. Right Subcostal Incisional Hernia: A Surgical Challenge. JMSCR. 2014;2(10):2625-30.
Cassie S, Okrainec A, Saleh F, Quereshy FS, Jackson TD. Laparoscopic versus open elective repair of primary umbilical hernias: short-term outcomes from the American College of Surgeons National Surgery Quality Improvement Program. Surg Endosc. 2014;28:741-6.
Vagholkar K, Vagholkar S. Novel Technique Combining Tissue and Mesh Repair for Umbilical Hernia in Adults. Surgical Sci. 2014;5:369-75.
Vagholkar K, Budhkar A. Combined Tissue and Mesh Repair for Midline Incisional Hernia. (A study of 15 cases) JMSCR. 2014;2(8):1890-900.
Berrevoet F, D’Hont F, Rogiers X, Troisi R, de Hemptinne B. Open intraperitoneal versus retromuscular mesh repair for umbilical hernias less than 3 cm diameter. Am J Surg. 2011;201:85-90.
Vagholkar K, Pawanarkar A, Vagholkar S, Iyengar M, Pathan S. Incarcerated umbilical port site hernia. Int Surg J. 2016;3:1009-11.
Vagholkar K, Pawanarkar A, Vagholkar S, Iyengar M, Pathan S. Hernia mesh infection: a surgical disaster. Int Surg J. 2016;3:950-3.