Yeungnam Univ J Med.  2014 Jun;31(1):25-27.

Incarcerated umbilical hernia with small bowel obstruction in a continuous ambulatory peritoneal dialysis patient

• Jeong YH
• Do JY
• Hwang MJ
• Kim MJ
• Gu MG
• Park BS
• Choi JE
• Kim TW

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.

Keyword

Umbilical hernia; Intestinal obstruction; Peritoneal dialysis

MeSH Terms

Abdominal Pain
Abdominal Wall
Follow-Up Studies
Hernia
Hernia, Umbilical*
Herniorrhaphy
Humans
Intestinal Obstruction
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory*
Peritonitis
Prevalence
Rupture