Hernia incisional gigante complicada. Consecuencias de una evolución prolongada

AbstractIntroductionIncisional hernias are the most common cause of intestinal strangulation in patients presenting with intestinal obstruction, potentially complicating with intestinal gangrene, sepsis and eventually intraabdominal hypertension syndrome and its pathophysiological consequencesCase reportAn 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.ConclusionsThis gigantic incisional hernia developed because the surgical treatment was delayed due to a diverse number of factors, the most important of which was the morbid obesity and the fear of postoperative complications frequently developing in such patients. Emergency surgery in these cases represents an increased risk for the patient, the procedure is habitually bloody, and it is associated to severe postoperative morbidity