Acute Abdominal wall ( Ventral ) Hernia with Intestinal Obstruction… An Unusual presentation-
Patient Presented with a history of Bull Horn Injury to right lower abdomen, 4 days back, followed by Acute onset symptoms of Intestinal Obstruction like Abdominal Pain, Vomiting, Distention and Constipation.
CT scan of the Abdomen was suggestive of Obstructed Hernia in Right Lower Abdomen.
Emergency exploration in right lower quadrant of Abdomen revealed Obstructed Small Bowel loop which was Dusky in colour herniating through a Small defect in the Anterior Rectus sheath and Peritoneum.
On incising the rectus sheath, colour of the obstructed loop returned back to normal.
Contents were reduced and the Defect was closed Anatomically with Non Absorbable Sutures
Patient tolerated the procedure well and was discharged after 4 days, tolerating full diet and relieved completely of his symptoms.