Paper Title: Spontaneous rupture of incisional hernia: A Case report.
Authors: Igwe P.O, Dodiyi-Manuel A, Usende H.L and Umar A.F.
Background: Spontaneous rupture with bowel evisceration is an uncommon feature of incisional hernia. There is increased risk of morbidity and mortality. Aim: To report a rare clinical condition in which there was a spontaneous rupture of an abdominal incisional hernia and to increase awareness of this condition in our environment. Case Report: A 31yr old woman presented with a history of loop of intestine protruding from a previous surgical scar in the lower abdomen. She had a colicky, and generalised abdominal pains, with vomiting of recently ingested food, progressive abdominal distention and constipation. She had had five previous Caesarian Sections. On examination she had about 15 centimeters of a loop of ileum eviscerated. Exploratory laparotomy after resuscitation revealed ileal herniation approximately 30 cm from the ileoceacal valve. A bowel resection, ileo-ileal anastomosis and a vertical Mayo repair of the hernia were carried out. Her post-operative period was uneventful. Conclusion: Spontaneous rupture of incisional hernia, a distressing clinical condition is uncommon and it is reported with the hope of increasing the awareness and possibly prevent this avoidable uncommon complication.