Case Report
Year: 2021 | Month: January | Volume: 11 | Issue: 1 | Pages: 184-186
A Complicated Non COVID-19 Case in COVID-19 Period
Sanketh Bhat S1, V.V. Prabhu2, K. Gorad3, Sunil Pudale4
1Junior Resident, Department of Surgery, Bharti Vidhyapeeth Deemed To Be University, Sangli.
2HOD and Professor, Department of Surgery, Bharti Vidhyapeeth Deemed To Be University, Sangli.
3Assistant Professor, Department of Surgery, Bharti Vidhyapeeth Deemed To Be University, Sangli.
4Assistant Professor, Department of Surgery, Bharti Vidhyapeeth Deemed To Be University, Sangli.
Corresponding Author: Sanketh Bhat S
ABSTRACT
Strangulation of hernia is one of the complications of neglected hernias. In this COVID-19 pandemic several Non Covid cases are being avoided. We report a case of strangulated incisional hernia which presented during the COVID 19 pandemic. A 75 y old female with no comorbidities presented with complaints of swelling in lower abdomen since 3 yrs which became irreducible since 2 months. Patient had vomiting, pain in abdomen and had not passed stools since 1 day. Patient gives history of abdominal hysterectomy 4ys back. At time of admission patient was conscious, dehydrated with tachycardia and hypotension. There was huge swelling in the previous operated site with blackened skin over it with foul smell. Generalised tenderness with rebound tenderness noted over abdomen. Patient had visited many healthcare facilities and was denied treatment in view of COVID-19 pandemic for almost two days. Hernia, which needed prompt surgical intervention, was neglected, thus landing in complication. This patient had strangulated incisional hernia with gangrene of bowel and necrosis of the overlying skin.
Key words: Hernia, Incisional hernia, COVID-19.