Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

In cases of a strangulated hernia, what serious condition might occur?

1. Chronic abdominal pain

2. Rupture of the bowel

3. Acute intestinal obstruction

4. Constipation

The correct answer is: Acute intestinal obstruction

In cases of a strangulated hernia, acute intestinal obstruction is a serious condition that is likely to occur. A strangulated hernia happens when a portion of the intestine becomes trapped in the hernial sac and loses its blood supply due to constriction. This leads to the intestine becoming distended and blocked, preventing normal intestinal contents from moving through. As the blood supply is compromised, the tissue can become necrotic, leading to inflammation and a further potential blockage, which characterizes acute intestinal obstruction. This situation is urgent and requires immediate medical intervention, as prolonged obstruction can lead to bowel perforation, sepsis, and other life-threatening complications. Although chronic abdominal pain, rupture of the bowel, and constipation can be associated with hernias or gastrointestinal issues, they do not specifically represent the immediate and critical condition that results from a strangulated hernia. Acute intestinal obstruction directly correlates with the mechanical and vascular complications of the strangulation process.