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Hernia
Published in: Hernia 4/2004

01-12-2004 | Case Report

Gallbladder strangulation within an incisional hernia

Authors: Carlo Benzoni, Bruno Benini, Cesare Pirozzi

Published in: Hernia | Issue 4/2004

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Abstract

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.
Literature
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 171:80–84PubMed
2.
Read RC, Yoder G (1989) Recent trends in the management of incisional herniation. Arch Surg 124:485–488PubMed
3.
Borkar BB, Whelan JG, Creech JL, et al. (1980) Herniation of the gallbladder thorough the foramen of Winslow. Dig Dis Sci 25:228–232PubMed
4.
Sirikci A, Bayram M, Kervancioglu R (2002) Incisional hernia of a normal gallbladder: sonographic and CT demonstration. Eur J Radiol 41:57–59CrossRefPubMed
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 25:398–400CrossRefPubMed
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Carragher AM, Jackson PR, Panesar KJ (1990) Subcutaneous herniation of gallbladder with spontaneous cholecystocutaneous fistula. Clin Radiol 42:283–284PubMed
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Fagan SP, Awad SS, Rahwan K, et al. (2003) Prognostic factor for the development of gangrenous cholecystitis. Am J Surg 186:481–485CrossRefPubMed
Metadata
Title
Gallbladder strangulation within an incisional hernia
Authors
Carlo Benzoni
Bruno Benini
Cesare Pirozzi
Publication date
01-12-2004
Publisher
Springer-Verlag
Published in
Hernia / Issue 4/2004
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-004-0220-y

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