Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Mar 22;13(3):e14038.
doi: 10.7759/cureus.14038.

Strangulated Epigastric Hernia: A Rare Occurrence

Sri Hari Priya Vemulakonda  1 , Souradeep Dutta  1 , Ankit Jain  1 , Abhinaya Reddy  1 , Vishnu Prasad Nelamangala Ramakrishnaiah  1
Affiliations
Case Reports

Strangulated Epigastric Hernia: A Rare Occurrence

Sri Hari Priya Vemulakonda et al. Cureus. .

Abstract

An epigastric hernia is a rare type of abdominal hernia, described in the literature mostly as small, containing only preperitoneal fat. A large true epigastric hernia with herniation of the abdominal viscera is even rarer. Only a few case reports have given an account of strangulation in such an epigastric hernia. This case report describes a middle-aged, morbidly obese man with a big epigastric hernia presenting with incarceration and acute abdominal pain. Emergency surgical exploration revealed a 7 cm midline defect in the rectus sheath and a 30 cm segment of the jejunum and a 6 cm segment of the transverse colon were gangrenous. The gangrenous bowel segments were resected, and an end-to-end jejuno-jejunal and colo-colic anastomosis were done. The patient had an uneventful postoperative recovery.

Keywords: epigastric hernia; incarcerated; linea alba hernia; strangulated.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Intraoperative photos. (A) Herniated bowel with peritoneal sac. (B) Gangrenous bowel segment.
See this image and copyright information in PMC

References

    1. Pathogenesis of the epigastric hernia. Ponten JH, Somers KA, Nienhuijs SW. Hernia. 2012;16:627–633. - PubMed
    1. Townsend C, Beauchamp RD, Evers BM, Mattox K. Elsevier Health Sciences; 2016. Sabiston Textbook of Surgery.
    1. A strangulated epigastric hernia. Gatewood Gatewood. JAMA. 1916;LXVI:85–86.
    1. Umbilical and epigastric hernia repair. Muschaweck U. Surg Clin North Am. 2003;83:1207–1221. - PubMed
    1. The pathogenesis and treatment of hernia of the linea alba. Moschcowitz AV. https://ci.nii.ac.jp/naid/10009880503/ Surg Genecol Obstet. 1914;18:504–507.

Publication types

LinkOut - more resources