Skip to main content
Log in

Gallbladder strangulation within an incisional hernia

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript


We describe here the first case in the literature of gallbladder strangulation within an incisional hernia. A patient with a history of rectal cancer operation presented with a “surgical abdomen” and a palpable right upper quadrant mass at the site of the previous colostomy. At surgery, a strangulated gallbladder was found in the subcutaneous tissue. Cholecystectomy was performed, and patient recovery was uneventful. If gallbladder strangulation is suspected, the surgeon should avoid forceful attempts at hernia reduction, as this may cause rupture of the gallbladder and subsequent contamination.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others


  1. Sugerman HJ, Kellum JM Jr, Reines HD, et al. (1996) Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh. Am J Surg 171:80–84

    PubMed  Google Scholar 

  2. Read RC, Yoder G (1989) Recent trends in the management of incisional herniation. Arch Surg 124:485–488

    CAS  PubMed  Google Scholar 

  3. Borkar BB, Whelan JG, Creech JL, et al. (1980) Herniation of the gallbladder thorough the foramen of Winslow. Dig Dis Sci 25:228–232

    CAS  PubMed  Google Scholar 

  4. Sirikci A, Bayram M, Kervancioglu R (2002) Incisional hernia of a normal gallbladder: sonographic and CT demonstration. Eur J Radiol 41:57–59

    Article  PubMed  Google Scholar 

  5. Shirahama M, Onohara S, Miyamoto Y, et al. (1997) Incisional hernia of gallbladder in a patient with gallbladder carcinoma: sonographic demonstration. J Clin Ultrasound 25:398–400

    Article  CAS  PubMed  Google Scholar 

  6. Carragher AM, Jackson PR, Panesar KJ (1990) Subcutaneous herniation of gallbladder with spontaneous cholecystocutaneous fistula. Clin Radiol 42:283–284

    CAS  PubMed  Google Scholar 

  7. Fagan SP, Awad SS, Rahwan K, et al. (2003) Prognostic factor for the development of gangrenous cholecystitis. Am J Surg 186:481–485

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Carlo Benzoni.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Benzoni, C., Benini, B. & Pirozzi, C. Gallbladder strangulation within an incisional hernia. Hernia 8, 387–388 (2004).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: