Spontaneous Rupture of Incisional Hernia: A Case Report

Introduction: Spontaneous rupture of incisional hernia is a very rare event. Case Presentation: A 76 - year old male admitted in our hospital with history of spontaneous rupture of incisional hernia. On physical examination, approximately 50cm of intestine was protruding through the lower anterior abdomen wall. Patient was operated& resection of gangrenous part of intestine and end to end anastomosis was done & discharged with uneventful recovery. Discussion: Complications such as adhesions, incarceration of intestine and intestinal obstruction are well documented in incisional hernia but spontaneous rupture is very rarely reported in incisional hernia. Early surgical intervention for incisional hernia is very helpful to prevent complications. Conclusion: Spontaneous rupture of incisional hernia is very rare complication. Spontaneous rupture of intestine may be sudden or gradual. Spontaneous rupture should be manage by primary repair if no contamination or gangrene segment or by delay repair if gross contamination is present.