Case report and operative management of obstructed epigastric hernia containing gall bladder: a rare entity

Authors

  • Kartik Thurwal Department of Surgery, R and R Multispeciality Hospital, Jhunjhunu, Rajasthan, India
  • Seema Kumari Department of Biochemistry, Lady Hardinge Medical College, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20204698

Keywords:

Gall bladder hernia, Hernia sac, Abdominal wall defect

Abstract

An obstructed epigastric hernia containing gall bladder is a very rare entity and there are only few cases described in literature previously. A 69 year old woman presented at the emergency department at 1.00 a.m. with complains of pain and swelling in upper abdomen and having recurrent vomiting. As patient was sick and there was no imaging facility available at that time, patient was taken to OT in view of obstructed epigastric hernia. When abdomen was opened hernia sac containing gall bladder was seen. Then cholecystectomy and repair of the abdominal wall defect were performed. The patient recovered very well and was discharged on day 7.

References

Paolino L, Millan M, Bossi M, Champault G, Barrat C. Herniation of the gallbladder within a hernia of the abdominal wall associated with Mirizzi Syndrome. J Surg Case Rep. 2011;2011 (4):3.

Aguirre DA, Santosa AC, Casola G, Sirlin CB. Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi–detector row CT. Radiographics. 2005;25 (6):1501-20.

Trotta M, Cesaretti M, Minetti GA, Borgonovo G. Complication of herniation through the abdominal wall. Surgery. 2013;154(5):1135-6.

Benzoni C, Benini B, Pirozzi C. Gallbladder strangulation within an incisional hernia. Hernia. 2004;8(4):387-8.

Goldman G, Rafael AJ, Hanoch K. Acute acalculous cholecystitis due to an incarcerated epigastric hernia. Postgrad Med J. 1985;61 (721):1017-8.

Downloads

Published

2020-10-23

Issue

Section

Case Reports