A STITCH IN TIME SAVES THE INTESTINE !!

 Clinical History

  • A 50 year female presented to the emergency of Metro Multispeciality Hospital with a h/o of acute abdominal pain and recurrent vomiting of 3-4 hours duration and a painful tender swelling in the mid abdomen.
  • She gave a h/o of a swelling in the supra-umbilical region for the last 2-3 years.
  • Clinical examination revealed a tender. Irreducible para-umbilical hernia.

Large Irreducible Supraumbilical Swelling 



Urgent CT abdomen confirmed a small intestinal loop to be stuck in the hernia sack.


She was taken up for urgent laparotomy within 2 hours of presentation to the emergency . On opening the hernia sac a discoloured loop of small intestine was seen.


The constricting ring was released and the intestine regained its normal colour and viability – allowing for the intestine to be saved. Patient underwent a Mesh Henioplasty and was discharged on the 2nd post operative day.



TIMELY AND QUICK INTERVENTION SAVED THE PATIENT FROM AN INTESTINAL RESECTION AND ALLOWED FOR A  QUICK POST OPERATIVE RECOVERY






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