Incarcerated umbilical hernia with small bowel obstruction in a continuous ambulatory peritoneal dialysis patient / 영남의대학술지
Yeungnam University Journal of Medicine
; : 25-27, 2014.
Article
in En
| WPRIM
| ID: wpr-99057
Responsible library:
WPRO
ABSTRACT
Patients treated with peritoneal dialysis have increased intra-abdominal pressure and a high prevalence of abdominal wall complications. Hernias can lead to significant morbidity in patients on peritoneal dialysis. Hernias are clinically important because of the risk of incarceration, strangulation and subsequent bowel obstruction, rupture, and peritonitis. In this paper, a case of incarcerated umbilical hernia with small bowel obstruction in a continuous ambulatory peritoneal dialysis (CAPD) patient is reported. The small bowel obstruction improved after herniorrhaphy, and the peritoneal dialysis was resumed 2 weeks after the herniorrhaphy. The patient had been undergoing CAPD without technical failure until the 2 months follow-up after the herniorrhaphy. This case shows that early detection of incarcerated umbilical hernia and herniorrhaphy can prevent resection of a strangulated small bowel so that it can remain on CAPD without post-operative technical failure. Umbilical hernias should be carefully observed and intestinal obstruction should be considered when a CAPD patient with an umbilical hernia has abdominal pain.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Peritonitis
/
Rupture
/
Abdominal Pain
/
Prevalence
/
Follow-Up Studies
/
Peritoneal Dialysis
/
Peritoneal Dialysis, Continuous Ambulatory
/
Abdominal Wall
/
Herniorrhaphy
/
Hernia
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limits:
Humans
Language:
En
Journal:
Yeungnam University Journal of Medicine
Year:
2014
Document type:
Article