A rare case of intestinal obstruction: Herniation of colon through drain site

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• 作者：Najmus Saadat Jamadar ; Souvik Saha ; Sourav Mondal…
• 关键词：Key wordsIntestinal obstruction ; herniation of colon ; drain site hernia
• 刊名：Hellenic Journal of Surgery
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：88
• 期：6
• 页码：439-441
• 全文大小：
• 刊物主题：Surgery;
• 出版者：Springer Vienna
• ISSN：1868-8845
• 卷排序：88

文摘

Herniation of abdominal viscera through drain site is not unusual. Small bowel, Appendix, Ovary, or even Gall bladder are reported as contents of these hernias with an exception of colon. We report a case presenting as acute intestinal obstruction, where the hepatic flexure of colon with omentum had been herniated through an open cholecystectomy drain site done nine years back. On emergency laparotomy, contents (hepatic flexure of colon and omentum) were reduced and found viable and parietal gap was closed from inside and reinforced with prolene mesh in preperitoneal space as well. Despite the decreasing use of intraperitoneal drains over the recent years, a multitude of patients had intraperitoneal drainage in former times. These patients face nowadays the risk of drain-site hernias with sometimes even unexpected structures inside.