Abstract

BEJERANO GARCIA, Ramiro Julio. Evisceration of the impacted small bowel in an elderly with douglascele. MEDISAN [online]. 2020, vol.24, n.5, pp.897-905.  Epub Oct 12, 2020. ISSN 1029-3019.

The case report of a 86 years elderly is presented with evisceration of the small bowel through the perineum. The urgent surgical exploration of the abdomen was carried out and it was observed the perforation of the Douglas pouch and the 50 cm prominence of impacted small bowel, so that the bowel resection of the whole affected segment and end to end anastomosis was carried out. Then the Douglas pouch defect was repaired with a perineal plasty, for which a polypropylene mesh was used. This procedure is a good alternative for the surgical treatment in those who present perineal hernias, because it allows a better closing, to dissect the hernial sack and to reduce it appropriately.

Keywords : elderly; evisceration; perineal hernia; Douglas pouch; douglascele; perinealplasty; pelvic diaphragm.

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