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Rare disease
Spontaneous rupture of incisional hernia: a rare cause of a life-threatening complication
  1. R K Gupta,
  2. Sah S,
  3. Agrawal S C
  1. Department of Surgery, B P Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal
  1. Correspondence to Gupta R K, rakesh154{at}


Spontaneous evisceration is a very rare and potentially fatal complication of abdominal-wall incisional hernia. Here the authors present a case report of spontaneous evisceration in an incisional hernia in a 45-year-old female patient. Management of the condition using prosthetic mesh repair risks mesh infection, while the use of non-prosthetic repair risks recurrence of the hernia due to the absence of stout natural tissues. Use of a biological mesh for the condition seems quite plausible. Thorough saline washes of the eviscerated organ; excision of redundant/unhealthy skin and strict adherence to the fundamental principles of hernia repair is desired in managing the condition.

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  • Competing interests None.

  • Patient consent Obtained.

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