Thalahitiyage Nanduni, Ravindrakumar Sanjeevan, Nandasena Janaka, Krishnakumar Arooran, Jayarajah Umesh, Rodrigo V S D
Department of Surgery, District General Hospital Chilaw, Chilaw, Putlam District, Sri Lanka.
Case Rep Surg. 2021 Feb 2;2021:6684360. doi: 10.1155/2021/6684360. eCollection 2021.
Spontaneous evisceration of abdominal viscera is a rare complication of incisional hernia which could pose a serious threat to life if intervention is delayed. We report a case of a 62-year-old female with a history of curative resection for stage 1 endometrial adenocarcinoma 3 years ago, presenting with spontaneous evisceration of incisional hernia with strangulation of small bowel. Immediate resuscitation followed by emergency surgery was mandatory. During surgery, priority should be given to release the strangulation as soon as possible and the type of repair would depend on the viability of the bowel and the anatomy of the incisional hernia.
腹腔脏器自发性脱出是切口疝的一种罕见并发症，如果延误干预可能对生命构成严重威胁。我们报告一例62岁女性病例，该患者3年前因I期子宫内膜腺癌接受了根治性切除术，现出现切口疝伴小肠绞窄的腹腔脏器自发性脱出。必须立即进行复苏并随后进行急诊手术。手术过程中，应优先尽快解除绞窄，修复方式将取决于肠管的活力和切口疝的解剖结构。
