Post-appendectomy Gastroduodenal Prolapse from a Right Lower Abdominal Incisional Hernia: Case Report

Abstract

An 83-year-old female was admitted to our hospital with a chief complaint of distention of the right lower abdomen, abdominal pain, and nausea. The right lower quadrant was distended to the size of a child’s head due to an abdominal incisional hernia after an appendectomy performed in childhood, and it was impossible to reduce the hernia. Contrast-enhanced CT of the abdomen showed prolapse of the stomach and duodenum from an incisional hernia in the right lower quadrant, and open hernia repair was performed without using mesh. The postoperative course was uneventful, and the patient was discharged on postoperative day 4. Although incisional hernia is a common complication of open abdominal surgery, few reports of gastric prolapse have been reported, and no reports of duodenal prolapse were found in the literature. We report a case of post-appendectomy gastroduodenal prolapse from a right lower abdominal incisional hernia together with a discussion of the literature.