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Spontaneous posterior rectus sheath hernia: a case report.
J Med Case Rep. 2018 Apr 15; 12(1):96.JM

Abstract

BACKGROUND

Hernias of the posterior rectus sheath are very rare abdominal wall hernias with only a handful of cases reported in the literature to date. As an uncommon disease, it is important to recognize and report this case in order to enhance scientific knowledge of this disease.

CASE PRESENTATION

This case report presents a spontaneous posterior rectus sheath herniation in a 79-year-old white man with previous abdominal surgery for appendicitis. His herniation was discovered incidentally during an examination for his chief complaints of lower abdominal pain and diarrhea which were later diagnosed as Salmonella-related gastroenteritis. A computed tomography scan of his abdomen and pelvis showed abdominal wall hernia with loops of small bowel extending into his rectus abdominis muscle. In this case, it was decided to leave the situation alone for now due to no evidence of bowel obstruction and the low risk of this hernia getting strangulated, which otherwise would have warranted urgent surgery.

CONCLUSIONS

This report adds to the limited stock of available literature on this unusual issue and strengthens the evidence base on the best approach to support informed clinical decision making. The significant clinical implication of such case reports is increased identification rate of rare clinical conditions which otherwise often go unnoticed.

Authors+Show Affiliations

Department of Surgery, Bundaberg Base Hospital, Bundaberg, QLD, Australia. chuwoonn@yahoo.com.Department of Surgery, Bundaberg Base Hospital, Bundaberg, QLD, Australia.Department of Surgery, Bundaberg Base Hospital, Bundaberg, QLD, Australia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29655368

Citation

Ng, Chu Woon, et al. "Spontaneous Posterior Rectus Sheath Hernia: a Case Report." Journal of Medical Case Reports, vol. 12, no. 1, 2018, p. 96.
Ng CW, Sandstrom A, Lim G. Spontaneous posterior rectus sheath hernia: a case report. J Med Case Rep. 2018;12(1):96.
Ng, C. W., Sandstrom, A., & Lim, G. (2018). Spontaneous posterior rectus sheath hernia: a case report. Journal of Medical Case Reports, 12(1), 96. https://doi.org/10.1186/s13256-018-1645-8
Ng CW, Sandstrom A, Lim G. Spontaneous Posterior Rectus Sheath Hernia: a Case Report. J Med Case Rep. 2018 Apr 15;12(1):96. PubMed PMID: 29655368.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous posterior rectus sheath hernia: a case report. AU - Ng,Chu Woon, AU - Sandstrom,Anna, AU - Lim,Grace, Y1 - 2018/04/15/ PY - 2017/09/05/received PY - 2018/03/05/accepted PY - 2018/4/16/entrez PY - 2018/4/16/pubmed PY - 2018/9/25/medline KW - Abdominal wall KW - Case report KW - Hernia KW - Rectus sheath SP - 96 EP - 96 JF - Journal of medical case reports JO - J Med Case Rep VL - 12 IS - 1 N2 - BACKGROUND: Hernias of the posterior rectus sheath are very rare abdominal wall hernias with only a handful of cases reported in the literature to date. As an uncommon disease, it is important to recognize and report this case in order to enhance scientific knowledge of this disease. CASE PRESENTATION: This case report presents a spontaneous posterior rectus sheath herniation in a 79-year-old white man with previous abdominal surgery for appendicitis. His herniation was discovered incidentally during an examination for his chief complaints of lower abdominal pain and diarrhea which were later diagnosed as Salmonella-related gastroenteritis. A computed tomography scan of his abdomen and pelvis showed abdominal wall hernia with loops of small bowel extending into his rectus abdominis muscle. In this case, it was decided to leave the situation alone for now due to no evidence of bowel obstruction and the low risk of this hernia getting strangulated, which otherwise would have warranted urgent surgery. CONCLUSIONS: This report adds to the limited stock of available literature on this unusual issue and strengthens the evidence base on the best approach to support informed clinical decision making. The significant clinical implication of such case reports is increased identification rate of rare clinical conditions which otherwise often go unnoticed. SN - 1752-1947 UR - https://www.unboundmedicine.com/medline/citation/29655368/Spontaneous_posterior_rectus_sheath_hernia:_a_case_report_ L2 - https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-018-1645-8 DB - PRIME DP - Unbound Medicine ER -