# Incarcerated incisional hernia on an old orthopedics incision, a rare case report and a review of the literature

## TL;DR

A 38-year-old man developed a rare incarcerated incisional hernia years after orthopedic surgery, highlighting the long-term risks of surgical incisions.

## Contribution

This case report highlights the delayed complications of incisional hernias and emphasizes the importance of elective repair.

## Key findings

- The patient presented with bowel obstruction due to an incarcerated incisional hernia at the site of a prior orthopedic surgery.
- The hernia was confirmed during surgery, and the bowel was found to be viable.
- Elective repair is recommended to prevent potentially fatal complications.

## Abstract

A previous surgical incision can lead to an abdominal wall defect known as an incisional hernia. The protrusion of abdominal viscera, particularly bowel loops, through this defect can result in various complications and affect organ function. Bowel loops are frequently involved and can lead to incarceration, obstruction or even strangulation. A 38-year-old male with a history of open reduction internal fixation for the left iliac wing presented with abdominal pain, vomiting and obstipation. Abdominal examination revealed a tender, distended abdominal area with swelling on the left hip. Radiological examination revealed bowel obstruction at the previous surgery site. During surgery, an incisional hernia was confirmed, and the bowel was found viable. Incisional hernias can occur even many years after primary surgery and may remain asymptomatic until complications arise. Elective hernial repair is recommended in some cases, such as the one presented here, as complications can be fatal.