Abstract
The aim of the present case report is to present the diagnostic and therapeutic challenge of intercostal incisional hernia. We report on a female patient with leftsided intercostal incisional hernia between the eleventh and twelfth rib due to preceding lumbar incision for tumor nephrectomy. Because of its infrequence, diagnosis was established late although simple clinical examination and ultrasound investigation displayed the hernia. At laparotomy, a 5×5 cm2 fascial defect with a colonic sliding hernia was found. Hernia repair using permanent mesh reinforcement in the retromuscular position is described. Abdominal incisional hernia in the intercostal region is rare and therefore easily overlooked. As with other incisional hernias, the hernia repair using mesh implantation in the retromuscular region is technically feasible and represents the treatment of choice.
Similar content being viewed by others
References
Le Neel JC, Mousseau PA, Leborgne J, Horeau JM, Labour PE, Mousseau M (1978) Abdominal intercostal hernia. Report of four cases (author’s transl). Ann Chir 32:138–141
Sommer T (1999) Lumbar intercostal hernia—a rare condition. Ugeskr Laeger 161:6640–6641
Sharma OP, Duffy B (2001) Transdiaphragmatic intercostal hernia: review of the world literature and presentation of a case. J Trauma 50: 1140–1143
Losanoff JE, Richman BW, Jones JW (2001) Transdiaphragmatic intercostal hernia: review of the world literature. J Trauma 51:1218–1219
Best IM (2001) Complication of the retroperitoneal approach: intercostal abdominal hernia. Am Surg 67:635–636
Losanoff JE, Richman BW, Jones JW (2004) Recurrent intercostal herniation of the liver. Ann Thorac Surg 77:699–701
Fackeldey V, Junge K, Hinck D, Franke A, Willis S, Becker HP, Schumpelick V (2003) Repair of intercostal pulmonary herniation. Hernia 7:215–217
Carbonell AM, Kercher KW, Sigmon L, Matthews BD, Sing RF, Kneisl JS, Heniford BT (2005) A novel technique of lumbar hernia repair using bone anchor fixation. Hernia 9(1):22–25
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rosch, R., Junge, K., Conze, J. et al. Incisional intercostal hernia after a nephrectomy. Hernia 10, 97–99 (2006). https://doi.org/10.1007/s10029-005-0023-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-005-0023-9