title: Gallbladder strangulation within an incisional hernia.
abstract: We describe here the first case in the literature of gallbladder strangulation within an incisional hernia. A patient with a history of rectal cancer operation presented with a "surgical abdomen" and a palpable right upper quadrant mass at the site of the previous colostomy. At surgery, a strangulated gallbladder was found in the subcutaneous tissue. Cholecystectomy was performed, and patient recovery was uneventful. If gallbladder strangulation is suspected, the surgeon should avoid forceful attempts at hernia reduction, as this may cause rupture of the gallbladder and subsequent contamination.
authors.affiliation: Division of General and Emergency Surgery, S. Camillo-Forlanini Hospital, Viale Portuense 322, 00149 Rome, Italy. cbenzoni@scamilloforlanini.rm.it
authors.forename: Carlo
authors.initials: C
authors.lastname: Benzoni
authors.forename: Bruno
authors.initials: B
authors.lastname: Benini
authors.forename: Cesare
authors.initials: C
authors.lastname: Pirozzi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy; D005260:Female; D005704:Gallbladder / Q000098:blood supply* / Q000601:surgery; D005705:Gallbladder Diseases / Q000209:etiology / Q000601:surgery*; D006555:Hernia, Ventral / Q000150:complications / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome