Incarcerated massive incisional hernia: extensive necrosis of the colon in a very obese patient. Surgical treatment and vacuum-assisted closure therapy: a case report.
We discuss a diabetic obese patient with an extensive necrosis of the ascending and transverse colon plus segmental necrosis of the small bowel incarcerated in a massive median incisional hernia below the umbilicus. After a blood test and an abdominal CT scan (without contrast dial), the patient underwent an urgent operation. We performed an extended right hemicolectomy, multiple segmental small bowel resections and a terminal ileostomy. The defect of the abdominal wall was treated with vacuum-assisted closure (VAC) therapy with good results.
Montecamozzo
G
G
Chirurgia I-Onco-Gastro-Surgical Departement, A.O. Luigi Sacco-Università degli Studi di Milano, Via G.B.Grassi 74, 20157, Milano, Italy.
Leopaldi
E
E
Baratti
C
C
Previde
P
P
Ferla
F
F
Pizzi
M
M
Sposato
J
J
Pariani
D
D
Sartani
A
A
Trabucchi
E
E
D000368:Aged; D003106:Colon / Q000098:blood supply / Q000473:pathology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004630:Emergencies; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D009336:Necrosis; D054843:Negative-Pressure Wound Therapy; D009765:Obesity / Q000150:complications