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J Yeungnam Med Sci > Volume 31(1); 2014 > Article
Yeungnam University Journal of Medicine 2014;31(1):25-27.
DOI: https://doi.org/10.12701/yujm.2014.31.1.25    Published online June 30, 2014.
Incarcerated umbilical hernia with small bowel obstruction in a continuous ambulatory peritoneal dialysis patient.
Yo Han Jeong, Jun Young Do, Mun Ju Hwang, Min Jung Kim, Min Geun Gu, Byung Sam Park, Jung Eun Choi, Tae Woo Kim
1Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. jydo@med.yu.ac.kr
2Department of General Surgery, College of Medicine, Yeungnam University, Daegu, Korea.
3Department of Internal Medicine, Soonchunhayng University Gumi Hospital, Gumi, Korea.
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: Umbilical hernia, Intestinal obstruction, Peritoneal dialysis


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