A Case of Internal Supravesical Hernia

Kamiga, Masahiro; Hirai, Ichiro; Mizutani, Masaomi; Fuse, Akira; Kimura, Wataru

doi:10.3919/jjsa.65.801

Cited by 5 publications

(3 citation statements)

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“…Quite almost reported cases were treated by open laparotomy [ [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [20] , [21] , [22] ], whereas only few cases were repaired by laparoscopic surgery [ [23] , [24] , [25] , [26] , [27] ] as described in our experience. According to other Authors [ 32 , 33 ], we believe that in case of early diagnosis and in patients with stable hemodynamic parameters, through magnification of the image, laparoscopy gives a better vision of the operating field, facilitating the surgeon's work.…”

Section: Discussionmentioning

confidence: 91%

“…The most common external type protrudes through the anterior abdominal wall expanding into the inguinal canal and miming a direct inguinal hernia. On the contrary, the internal type remains within the abdomen passing into the space around the bladder: this type is extremely rare, generally described in single case-report [ [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] ]. The majority of patients with internal supravesical hernia (ISH) present acute obstructive symptoms caused by small bowel strangulation.…”

Section: Introductionmentioning

confidence: 99%

“…The majority of patients with internal supravesical hernia (ISH) present acute obstructive symptoms caused by small bowel strangulation. Laparotomic repair with bowel resection, has been described in several different cases [ [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] ]; more rarely, laparoscopic treatment has been reported [ [23] , [24] , [25] , [26] , [27] ].…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic treatment of obstructed internal supravesical hernia: A cases series and rewiev of the literature

Clementi

Bonanni

Sista

et al. 2018

Annals of Medicine and Surgery

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Introductioninternal supravesical hernia (ISH) is an exceptional subtype of internal hernia often presenting with small bowel obstruction (SBO). Its rarity makes preoperative suspicion and diagnosis very difficult in an emergency setting.Methodswe retrospectively analyzed the database of patients admitted in a single center emergency unit for small bowel occlusion (SBO) in virgin abdomen and treated by surgery from August 2013 to October 2018. The patients with intraoperative diagnosis of ISH were included in this study.Resultsfrom 29 patients with virgin abdomen submitted to surgery for SBO, two cases of ISH were recorded. In both cases preoperative diagnosis was made by CT scan and urgent treatment was successfully performed by laparoscopy, reducing the entrapped small bowel and closing the hernia's ring by continuous suture. No intestinal resection was needed.Discussionurgent laparotomic repair of obstructive ISH is the standard treatment although laparoscopic approach has also been described in a small number of cases. We reported our experience on two cases in which totally laparoscopic treatment was successfully performed in patients with stable hemodynamic parameters thanks to early diagnosis and limited intestinal distension. By an extensive analysis of the international literature, clinical, diagnostic and therapeutic aspects of this form of internal hernia were discussed.ConclusionCT scan facilitates early ISH preoperative diagnosis, reducing the risk of small bowel resection and increasing the chances of minimally invasive laparoscopic treatment.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic treatment of obstructed internal supravesical hernia: A cases series and rewiev of the literature

Clementi

Bonanni

Sista

et al. 2018

Annals of Medicine and Surgery

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Strangulated Transmural Hernia of the Uterus After Myomectomy: A Rare Cause of Bowel Obstruction

Mamadouba,

Romuald,

Fodé

et al. 2024

CMR

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Consultation for mechanical bowel obstruction is one of the most common reasons in emergency and surgical departments. Transmural hernia of the strangulated uterus after myomectomy is a rare etiology of intestinal obstruction. Their diagnosis is increasingly complex and is discovered during an exploratory laparotomy. In this observation, we report the case of this 34-year-old patient with a history of myomectomy, nulliparous admitted for persistent abdominal pain and vomiting. an abdominopelvic ultrasound showed images of uterine myomas in necrobiosis. the patient presented an occlusive syndrome for which an abdominopelvic MRI which confirmed the diagnosis of aseptic necrobiosis. This unusual image mimicking that of a necrobiosis of uterine myoma was the difficulty which allowed this diagnostic error and the delay in the treatment of this patient. As this philosophy emphasizes (never let the sun rise or set in case of mechanical obstruction of the small intestine). Given the persistence of clinical signs, an abdominal CT scan was requested and confirmed the diagnosis of occlusive syndrome. conclusion: Faced with the diagnosis of an acute intestinal obstruction following a myomectomy by a combination of persistent abdominal pain, vomiting, cessation of materials and gas, systematically look for an obstruction of internal hernia by incarceration in a myomectomy cubicle. Exploratory laparotomy makes it possible to find the etiology and treat it.

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