INTRODUCTION: Flank incisions may be associated with incisional @entity812 , which may progress to incarceration and strangulation. Compromised integrity of the abdominal and intercostal musculature due to previous surgery may be associated with herniation of abdominal contents into the intercostal space. There have been six previously reported cases of herniation into the intercostal space after a flank incision for a surgical procedure. This case highlights the clinical picture associated with an emergent @entity547 and highlights the critical steps in its management. PRESENTATION OF CASE: We present a case of a 79-year-old adult @entity1 with multiple comorbidities presenting with a strangulated @entity812 secondary to an intercostal incision for a right-sided open nephrectomy. The @entity547 required emergent intervention including right-sided hemi-colectomy with @entity9358 . DISCUSSION: Abdominal incisional hernias are rare and therefore easily overlooked, but may result in significant morbidity or even death in the @entity1 .. The diagnosis can be made with a thorough clinical examination and ultrasound or computed topographical investigation. Once a @entity547 has become incarcerated, emergent surgical management is necessary to avoid strangulation and @entity1744 . CONCLUSION: Urgent diagnosis and treatment of this extremely rare @entity547 is paramount especially in the setting of strangulation.

Rare case of a strangulated XXXX following open nephrectomy: A case report and review of literature.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity812 :: ('MESH:D021501', 'Disease') :: ['flank hernias', 'flank hernia'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia', 'strangulated hernia'] @entity9358 :: ('MESH:D009078', 'Disease') :: ['ileostomy and mucous fistula'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['small bowel obstruction']
@entity812 :: (MESH:D021501,Disease) :: ['intercostal flank hernia']
