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Acquired abdominal intercostal hernia: a case report and literature review.

Abunnaja S, Chysna K, Shaikh I, Tripodi G - Case Rep Surg (2014)

Bottom Line: We discuss a case of a 51-year-old obese female who arrived to the emergency room with a painful swelling between her left 10th rib and 11th rib.She gave a history of a stab wound to the area 15 years earlier.This review discusses pathogenesis, clinical presentation, complications, and appropriate treatment strategies of AAIH.

View Article: PubMed Central - PubMed

Affiliation: The Stanley Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.

ABSTRACT
Acquired abdominal intercostal hernia (AAIH) is a rare disease phenomenon where intra-abdominal contents reach the intercostal space directly from the peritoneal cavity through an acquired defect in the abdominal wall musculature and fascia. We discuss a case of a 51-year-old obese female who arrived to the emergency room with a painful swelling between her left 10th rib and 11th rib. She gave a history of a stab wound to the area 15 years earlier. A CT scan revealed a fat containing intercostal hernia with no diaphragmatic defect. An open operative approach with a hernia patch was used to repair this hernia. These hernias are difficult to diagnose, so a high clinical suspicion and thorough history and physical exam are important. This review discusses pathogenesis, clinical presentation, complications, and appropriate treatment strategies of AAIH.

No MeSH data available.


Related in: MedlinePlus

Approximation of muscle fascia on top of the patch.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig7: Approximation of muscle fascia on top of the patch.

Mentions: A self-expanding polypropylene and ePTFE hernia patch (VENTRALEX Hernia Patch) (Figure 6) was then used to secure the defect, and the fascia of the intercostal and external oblique was approximated on top of the mesh using interrupted Vicryl stiches (Figure 7). The patient's postoperative course was uneventful and was discharged home on postoperative day two.


Acquired abdominal intercostal hernia: a case report and literature review.

Abunnaja S, Chysna K, Shaikh I, Tripodi G - Case Rep Surg (2014)

Approximation of muscle fascia on top of the patch.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4150516&req=5

fig7: Approximation of muscle fascia on top of the patch.
Mentions: A self-expanding polypropylene and ePTFE hernia patch (VENTRALEX Hernia Patch) (Figure 6) was then used to secure the defect, and the fascia of the intercostal and external oblique was approximated on top of the mesh using interrupted Vicryl stiches (Figure 7). The patient's postoperative course was uneventful and was discharged home on postoperative day two.

Bottom Line: We discuss a case of a 51-year-old obese female who arrived to the emergency room with a painful swelling between her left 10th rib and 11th rib.She gave a history of a stab wound to the area 15 years earlier.This review discusses pathogenesis, clinical presentation, complications, and appropriate treatment strategies of AAIH.

View Article: PubMed Central - PubMed

Affiliation: The Stanley Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.

ABSTRACT
Acquired abdominal intercostal hernia (AAIH) is a rare disease phenomenon where intra-abdominal contents reach the intercostal space directly from the peritoneal cavity through an acquired defect in the abdominal wall musculature and fascia. We discuss a case of a 51-year-old obese female who arrived to the emergency room with a painful swelling between her left 10th rib and 11th rib. She gave a history of a stab wound to the area 15 years earlier. A CT scan revealed a fat containing intercostal hernia with no diaphragmatic defect. An open operative approach with a hernia patch was used to repair this hernia. These hernias are difficult to diagnose, so a high clinical suspicion and thorough history and physical exam are important. This review discusses pathogenesis, clinical presentation, complications, and appropriate treatment strategies of AAIH.

No MeSH data available.


Related in: MedlinePlus