06/03/2026
A rare postoperative complication became a reminder of the impact of integrated rehabilitation care.🏥
The case highlights how the setting of rehabilitation can directly influence outcomes for medically complex patients and underscores the value of hospital-attached IRFs in managing unexpected complications.
This clinical vignette follows a patient who experienced bowel evisceration with fascial failure during inpatient rehabilitation, a life-threatening emergency that required immediate surgical intervention. Rapid recognition and escalation were possible because the patient was receiving care in a hospital-based inpatient rehabilitation facility, where multidisciplinary teams and specialty services were readily available.
This case study is being prepared for submission to the American Journal of Physical Medicine & Rehabilitation (AJPM&R) as a Clinical Vignette to raise awareness of the differential diagnosis for abdominal incisional drainage and the systems-level advantages of hospital-based rehabilitation care.