Iliac crest bone graft donor site hernia: Not so uncommon

Raghunath Prabhu, Nawin Kumar, Rajgopal Shenoy

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 73-year-old man, who had undergone fracture fixation of humerus with LCP plating and bone grafting, presented again with a peri-implant fracture after 1 year. A repeat surgery was contemplated and replating was performed with tricortical bone graft harvested from the iliac crest. In the postoperative period the patient developed a tender swelling at the graft site with nausea and abdominal discomfort. It was managed conservatively thinking it to be a haematoma at the graft site. In the following 2 days his symptoms worsened. A CT abdomen showed the herniation of caecum from the bone graft donor site with obstruction. The patient was taken up for emergency surgical repair, the caecum was reduced and polypropylene mesh hernioplasty was performed. The patient recovered well without recurrence in the follow-up period. Iliac crest bone graft site hernia is not so uncommon and care has to be taken while harvesting.

Original languageEnglish
JournalBMJ Case Reports
DOIs
Publication statusPublished - 12-06-2013

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Hernia
Tissue Donors
Transplants
Bone and Bones
Periprosthetic Fractures
Fracture Fixation
Bone Transplantation
Polypropylenes
Herniorrhaphy
Humerus
Reoperation
Postoperative Period
Hematoma
Abdomen
Nausea
Emergencies
Recurrence

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Iliac crest bone graft donor site hernia: Not so uncommon",
abstract = "A 73-year-old man, who had undergone fracture fixation of humerus with LCP plating and bone grafting, presented again with a peri-implant fracture after 1 year. A repeat surgery was contemplated and replating was performed with tricortical bone graft harvested from the iliac crest. In the postoperative period the patient developed a tender swelling at the graft site with nausea and abdominal discomfort. It was managed conservatively thinking it to be a haematoma at the graft site. In the following 2 days his symptoms worsened. A CT abdomen showed the herniation of caecum from the bone graft donor site with obstruction. The patient was taken up for emergency surgical repair, the caecum was reduced and polypropylene mesh hernioplasty was performed. The patient recovered well without recurrence in the follow-up period. Iliac crest bone graft site hernia is not so uncommon and care has to be taken while harvesting.",
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Iliac crest bone graft donor site hernia : Not so uncommon. / Prabhu, Raghunath; Kumar, Nawin; Shenoy, Rajgopal.

In: BMJ Case Reports, 12.06.2013.

Research output: Contribution to journalArticle

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