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Hernia

, Volume 15, Issue 6, pp 705–707 | Cite as

An unusual case of inguinal hernia with spontaneous evisceration

  • Muneer A. ZazEmail author
  • T. Dass
  • A. Muhee
  • U. Kawoosa
Case Report

Abstract

Spontaneous evisceration is a very rare and potentially fatal complication of abdominal wall hernia. It has been commonly reported in the case of umbilical hernia in patients with chronic liver disease with tense ascites. With other hernias, such as incisional hernia and inguinal hernia, the complication has been reported only once. Here we present a case report of spontaneous evisceration in an inguinal hernia in a patient with comorbid chronic obstructive airway disease. Management of the condition using prosthetic mesh repair risks mesh infection, while the use of non-prosthetic repair risks recurrence of the hernia due to the absence of stout natural tissues. Use of a biological mesh for the condition seems quite plausible. Thorough saline washes of the eviscerated organ, excision of redundant/unhealthy skin and strict adherence to the fundamental principles of hernia repair is desired in managing the condition.

Keywords

Inguinal hernia Complication Spontaneous evisceration 

References

  1. 1.
    McIntosh A, Hutchinson A, Roberts A et al (2000) Evidence based management of groin hernia in primary care—a systematic review. Fam Pract 17:442PubMedCrossRefGoogle Scholar
  2. 2.
    Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13:343–403PubMedCrossRefGoogle Scholar
  3. 3.
    Fitzgibbons RJ (2005) Inguinal hernias. In: Brunicardi FC (ed) Schwartz’s principles of surgery, 8th edn. McGraw Hill, New York, pp 1354–1356Google Scholar
  4. 4.
    Gallegos NC, Dawson J, Jarvis M, Hobsley M (1991) Risk of strangulation in groin hernias. Br J Surg 78(10):1171–1173PubMedCrossRefGoogle Scholar
  5. 5.
    Weik J, Moores D (2005) An unusual case of umbilical hernia rupture with evisceration. J Pediatr Surg 40(4):33–35CrossRefGoogle Scholar
  6. 6.
    Beltran MA, Danilova T, Cruces KS (2006) Mesh repair for spontaneous rupture of incisional hernia and evisceration: report of one case. Rev Chil Cir 58(2):147–150CrossRefGoogle Scholar
  7. 7.
    Lannin BG (1972) Spontaneous scrotal rupture from an incarcerated inguinal hernia. Minn Med 55(2):125–126PubMedGoogle Scholar
  8. 8.
    Belghiti J, Durand F (1997) Abdominal wall hernias in the setting of cirrhosis. Semin Liver Dis 17:219–226PubMedCrossRefGoogle Scholar
  9. 9.
    Nilsson H, Stylianidis G, Haapamaki M, Nilsson E, Nordin P (2007) Mortality after groin hernia surgery. Ann Surg 245:656–660PubMedCrossRefGoogle Scholar
  10. 10.
    Post S (1997) Against the principle surgical indications in inguinal hernia. Chirurg 68:1251–1255PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  1. 1.Department of SurgerySKIMS Medical College HospitalBemina, SrinagarIndia
  2. 2.Department of SurgeryFVSc and AHShuhamaIndia
  3. 3.Department of SurgeryGovernment Medical CollegeSrinagarIndia

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