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  Global Journal of Surgery. Volume 2, Issue 3 (2011) pp. 151-154
  Research Article
Giant life-threatening strangulated incisional hernia – Consequences of a neglected hernia
  Marcelo A. Beltrána,b, Victor J. Cortesb, Luis I. Jaramilloa,b, Karina S. Crucesa  
a Department of surgery – Hospital de la serena, Chile
b Medical school – Universidad católica del norte, Chile

  Introduction: Incisional hernia is the most common cause of intestinal strangulation in patients presenting with intestinal obstruction, potentially complicating with intra-abdominal hypertension syndrome and its pathophysiological consequences. Case Report: An obese woman with a strangulated incisional hernia is herein reported. We discuss the severe consequences and lethal risks to which this patient was exposed as a consequence of her hernia. The clinical course and treatment is reported, stressing the most important clinical and pathological aspects. Conclusions: This gigantic incisional hernia developed because the patient and her physicians neglected the surgery due to a diverse number of factors, the most important of which was morbid obesity and fear of postoperative complications frequently developing in such patients.
  Incisional hernia; Loss of domain; Strangulated hernia; Morbid obesity  

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