{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T06:54:44Z","timestamp":1785912884119,"version":"3.56.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":215,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Posterior rectus sheath hernia is an exceptionally rare interparietal abdominal wall hernia in which abdominal contents herniate through the posterior rectus sheath into the retrorectus space while the anterior rectus sheath remains intact. Clinical diagnosis may be difficult because the hernia remains confined within the abdominal wall, and delayed recognition may result in bowel strangulation. We report a rare case of spontaneous posterior rectus sheath hernia complicated by bowel necrosis requiring staged operative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 73\u2010year\u2010old woman with no history of previous abdominal surgery presented with a 48\u2010h history of progressively worsening epigastric abdominal pain, nausea, and emesis. Computed tomography demonstrated a narrow\u2010neck posterior rectus sheath hernia containing incarcerated small bowel with decreased bowel wall enhancement, proximal small bowel dilatation, and findings concerning for strangulation. Emergency exploratory laparotomy confirmed an approximately 1\u2010cm posterior rectus sheath defect with incarcerated mid\u2010jejunum within the retrorectus space. Following reduction, a 10\u2010cm segment of necrotic jejunum with pinpoint perforation required resection. Because adjacent bowel viability remained uncertain, temporary abdominal closure with negative\u2010pressure therapy was performed followed by a planned second\u2010look laparotomy 24\u2009h later. Re\u2010exploration demonstrated complete recovery of the remaining bowel, allowing stapled side\u2010to\u2010side functional end\u2010to\u2010end small bowel anastomosis and primary repair of the posterior rectus sheath without mesh because of contamination. The patient experienced an uncomplicated postoperative recovery, was discharged home on postoperative day five, and remained free of recurrent posterior rectus sheath hernia or incisional hernia at 1\u2010month clinical follow\u2010up and 1\u2010year computed tomography surveillance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Posterior rectus sheath hernia should be considered in patients presenting with small bowel obstruction and an interparietal abdominal wall defect on computed tomography, even in the absence of previous abdominal surgery. Careful recognition of the characteristic retrorectus anatomy and prompt operative intervention are essential when strangulation is suspected. This case demonstrates successful staged management with bowel resection, planned second\u2010look laparotomy, and durable primary repair with no recurrence at 1 year.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cris\/9048989","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T06:42:04Z","timestamp":1785912124000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Strangulated Small Bowel Within a Posterior Rectus Sheath Hernia in a Patient Without Prior Abdominal Surgery"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5364-3143","authenticated-orcid":false,"given":"Rebecca","family":"Deitch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6243-9950","authenticated-orcid":false,"given":"Megan","family":"Kolbe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9100-2831","authenticated-orcid":false,"given":"Patrick D.","family":"Melmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_2_8_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-193112000-00010"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-025-03383-y"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.28795"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjad175"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.108552"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjrcr.20190072"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.107834"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjz161"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/9048989","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cris\/9048989","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/9048989","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T06:42:05Z","timestamp":1785912125000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cris\/9048989"}},"subtitle":[],"editor":[{"given":"M.","family":"Rangarajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cris\/9048989"],"URL":"https:\/\/doi.org\/10.1155\/cris\/9048989","archive":["Portico"],"relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-06-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9048989"}}