case_images: PMC6512066_01
case_images: (a, b) CT scan. Bowel herniation through the right posterolateral abdominal wall (arrows).
case_images: CRIS2019-1072821.001.jpg
case_images: PMC6512066_01_CRIS2019-1072821.001.jpg
case_images: fig1
case_images: CT scan showed a large, incarcerated, posterolateral abdominal hernia with free fluid and possible free air and distended bowel loops indicative of obstruction (Figures 1(a) and 1(b)).
case_images: (a, b) Operative findings. Hemorrhagic small bowel segment (arrow).
case_images: CRIS2019-1072821.002.jpg
case_images: PMC6512066_01_CRIS2019-1072821.002.jpg
case_images: fig2
case_images: The small bowel was eviscerated from a 4 cm minilaparotomy using her old subumbilical midline incision, and the hemorrhagic loop did not recover and seemed unsalvageable (Figure 2(a)). The anastomosis was created using a GIA-75 stapler, and the damaged small bowel loop (Figure 2(b)) was resected together with the common enterotomy with a second transverse staple load.
case_images: Laparoscopic findings. Large lumbar hernia (arrows) with the colon trapped inside.
case_images: CRIS2019-1072821.003.jpg
case_images: PMC6512066_01_CRIS2019-1072821.003.jpg
case_images: fig3
case_images: The hernia was noted to be large, with the hepatic flexure partially trapped in it (Figure 3).
case_images: (a, b) CT. Right-sided retroperitoneal hematoma with pseudoaneurysm (arrows).
case_images: CRIS2019-1072821.004.jpg
case_images: PMC6512066_01_CRIS2019-1072821.004.jpg
case_images: fig4
case_images: CT scan the next day identified a 2 cm pseudoaneurysm of a side branch of a lumbar artery as source of the hematoma (Figures 4(a) and 4(b)).
case_images: Angiography. Lumbar pseudoaneurysm (arrows).
case_images: CRIS2019-1072821.005.jpg
case_images: PMC6512066_01_CRIS2019-1072821.005.jpg
case_images: fig5
case_images: This was subsequently embolized by interventional radiology (Figure 5).
case_images: (a-c) Follow-up CT scan (3 planes) at 6 months. Hernia covered by Bio-A mesh (arrows).
case_images: CRIS2019-1072821.006.jpg
case_images: PMC6512066_01_CRIS2019-1072821.006.jpg
case_images: fig6
case_images: On CT scan, the mesh covered the previous defect (Figures 6(a)-6(c)) and no recurrent hernia developed.