A 53-year-old female with a history of cholecystectomy presented with right lower quadrant abdominal pain for 2 days. She was afebrile with no loss of appetite or other gastrointestinal symptoms. Physical examination showed right lower quadrant abdominal tenderness with rebounding pain and hypoactive bowel sounds. Laboratory results showed no abnormalities and a normal white blood cell count (6...

OBJECTIVE To assess the local wound complications in complicated/ high risk laparotomies in terms of wound dehiscence and incisional hernia formation with a modified technique of midline abdominal wound closure. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Department of General Surgery, Combined Military Hospital, Bahawal Nagar Cantonment, May 2006 to June 2008. METH...

INTRODUCTION The incidence of hernias is increased in patients with alcoholic liver disease with ascites. To the best of our knowledge, this is the first report of an acute rise in intra-abdominal pressure from straining for stool as the cause of a ruptured umbilical hernia. CASE PRESENTATION An 81-year-old Caucasian man with a history of alcoholic liver disease presented to our emergency dep...

INTRODUCTION An Amyand's hernia is a heterogeneous clinical condition defined by the presence of the vermiform appendix within an inguinal hernia sac, which may or may not contain other abdominal contents or pathologic inflammatory changes. Herein we present an exceptionally rare case of an Amyand's hernia containing acute appendicitis and a perforated cecum. PRESENTATION OF CASE A 46-year-ol...

Sheep and goats are frequently presented with different forms of hernias to veterinary clinics. The aim of this study is to investigate the outcome of the surgical treatment of abdominal, umbilical, inguinal and scrotal hernias in sheep and goats. Fifty-eight clinical cases (sheep = 44, goat = 14) were presented to the Veterinary Teaching Hospital, College of Agriculture and Veterinary Medicine...

OBJECTIVES Abdominal wall hernias are common. Various authors all quote the following order (in decreasing frequency): inguinal, femoral, umbilical followed by rarer forms. But are these figures outdated? We investigated the epidemiology of hernia repair (retrospective review) over 30 years to determine whether the relative frequencies of hernias are evolving. DESIGN All hernia repairs undert...

We report a case in which a giant Spigelian hernia presented with severe, persistent abdominal pain in a 62year-old super-obese woman with a history of total abdominal hysterectomy-bilateral salpingo-oopherectomy at the age of 40 years for benign neoplasia, who later underwent open hernia repair (maximal diameter of the hernia sac: 21 cm) because of the development of compartment syndrome. Afte...

We report the diagnosis and repair of a chronic, iatrogenic diaphragmatic hernia using minimally-invasive techniques. A 69-year-old man presented with intermittent abdominal and shoulder pain. He had previously undergone laparoscopic Nissen fundoplication in which a grasper-induced puncture injury to the left hemidiaphragm was noted but not repaired. Radiographs and CT imaging diagnosed a left ...

BACKGROUND Surgical drains, as useful as they are, have been noted not to be without complications. Small bowel herniation through a previous drain site is a rare complication of abdominal drain insertion. OBJECTIVE To report a case of strangulated hernia through a drain site. METHODS A 46-year-old civil servant was referred to our hospital from a general hospital with a two-week history of...