Author/Authors :
Makama, JG Department of Surgery - Ahmadu Bello University Teaching Hospital - Shika-Zaria, Nigeria , Ahmed, A Department of Surgery - Ahmadu Bello University Teaching Hospital - Shika-Zaria, Nigeria , Ukwenya, Y Department of Surgery - Ahmadu Bello University Teaching Hospital - Shika-Zaria, Nigeria , Mohammed, I Department of Surgery - Ahmadu Bello University Teaching Hospital - Shika-Zaria, Nigeria
Abstract :
BACKGROUND: Surgical drains, as useful as they are, have
been noted not to be without complications. Small bowel
herniation through a previous drain site is a rare complication
of abdominal drain insertion.
OBJECTIVE: To report a case of strangulated hernia through a
drain site.
METHODS: A 46-year-old civil servant was referred to our
hospital from a general hospital with a two-week history of
progressive abdominal pain and bulge in the right lower
quadrant. She was evaluated clinically as with an
ultrasonography. Results of tests indicated a laparatomy.
RESULTS: She had a previous abdominal drain insertion when
she had an emergency exploratory laparatomy for perforated
typhoid enteritis in the same hospital 20 years prior to
presentation. Exploratory laparatomy done revealed
gangrenous loops of small bowel that herniated through a
previous drain site with interstitial spread. Resection and
end-to-end anastomosis was effected and internal end was closed
with non absorbable suture (Nylon 1).
Keywords :
Surgical drain , Nigeria , Hernia , Adult
