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Year : 2020  |  Volume : 3  |  Issue : 4  |  Page : 155-157

Inside-out: Spontaneous bowel evisceration, a rare complication of the ventral hernia

Department of Surgery, Sengkang General Hospital, Singapore

Correspondence Address:
Dr. Sabrina Ngaserin
Department of Surgery, Sengkang General Hospital, 110 Sengkang East Way, 544886
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijawhs.ijawhs_25_20

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Spontaneous nontraumatic bowel evisceration from a ruptured long-standing abdominal wall hernia is a rare occurrence. Sporadic case reports exist describing bowel evisceration from long-standing ventral herniae, whereby baseline increased intra-abdominal pressure was rendered more pronounced due to sudden increase and/or trauma. Morbidity and mortality rates are significant, and treatment can be technically complex. We present a case of spontaneous small bowel evisceration from rupture of a recurrent ventral hernia in a patient with liver cirrhosis, who was managed with emergent surgical mesh repair and discuss the spectrum of relevant surgical techniques for this unique group of patients.

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