Incarcerated hernia following hemiarthroplasty of the hip with Austin Moore prosthesis

Various post-operative complications are reported with hip arthroplasty. Acute abdominal complications are rare; however, they are associated with adverse outcomes and increased mortality. In the present study, we report a life-threatening case of incarcerated hernia following hip hemiarthroplasty. We report a rare case of immediately inguinal incarcerated hernia following cemented Austin Moore hemiarthroplasty for femoral neck fracture in an eighty-three years old man. Three recommendations for this critical complication following hip arthroplasty are as follows. First, a pre-operative evaluation must include a history on the development of hernia and a detailed physical examination. Second, incarcerated hernias should be included in the differential diagnosis of acute abdominal pain following hip surgery. Third, a lateral support device should be placed in the appropriate position to prevent excessive pressure on the abdominal wall.