A Case of Retroperitoneal Hernia in Paracolic Gutter of the Descending Colon

Nonaka, Takashi; Shibata, Yoshihito; Tou, Kazuo; Honjyou, Seiji; Oka, Teruaki

doi:10.5833/jjgs.41.700

Cited by 5 publications

(2 citation statements)

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“…In our case, a retroperitoneal hernia was located in the left paracolic gutter lateral to the sigmoid colon. Thorough MEDLINE search revealed only few case reports of IH with the gate located in the paracolic gutter adjacent to the colon [5, 6]. These types have not been included in the current classification.…”

Section: Discussionmentioning

confidence: 99%

A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

Kar

Mohapatra

Rath

2016

Case Reports in Surgery

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Primary internal hernias are extremely rare in adults. They are an important cause of small intestinal obstruction and lead to high morbidity and mortality if left untreated. Clinical presentation of internal hernia is nonspecific. Imaging has been of limited utility in cases of acute intestinal obstruction; moreover, interpretation of imaging features is operator dependant. Thus, internal hernias are usually detected at laparotomy and preoperative diagnosis in an emergency setting is either difficult or most of the time not suspected. We report herein a case of a 45-year-old male who presented with acute intestinal obstruction which was attributed later to a very rare type of internal hernia on exploratory laparotomy. A loop of ileum was found to enter the retroperitoneum through a hernia gate which was located lateral to the sigmoid colon in the left paracolic gutter. The segment of intestine was reduced and the hernial defect was closed. Our finding represents an extremely rare variant of retroperitoneal hernias.

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Section: Discussionmentioning

confidence: 99%

A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

Kar

Mohapatra

Rath

2016

Case Reports in Surgery

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“…Internal hernias are often discovered incidentally during imaging tests for other reasons or may be found during surgery itself. 2 Abnormal rotation of the intestine's during development is considered a major cause of congenital internal hernias. 3 These hernias are typically classified as left or right meso-colic hernias based on their location.…”

Section: Causesmentioning

confidence: 99%

A rare differential of acute abdomen: a case of internal hernia presenting as small bowel obstruction

S.,

Banerjee

2024

Int Surg J

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Internal hernias, though uncommon, are crucial to consider when diagnosing intestinal obstruction. They typically arise from developmental abnormalities, less frequently from acquired issues. Developmental causes include abnormal or incomplete development of the mesentery or gut rotation. Surgery is the most common cause of acquired internal hernias, particularly laparoscopic gastrojejunostomy or duodenojejunostomy repair procedures. Internal hernias usually present with intestinal obstruction symptoms. Imaging plays a vital role in diagnosis. While an upright abdominal X-ray may show signs of obstruction, CT scanning is the definitive investigation. This report describes an 18-year-old male who presented with generalized abdominal pain for eight days and no stool or gas passage for the past three days. After confirmation of a mesenteric hernia through ultrasound and CT imaging, emergency laparotomy surgery was performed. Due to gangrenous bowel, resection was not possible, so an ileostomy was created. The tissue sample was sent for histological examination. Surgery remains the definitive treatment for internal hernias.

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Herniation Through Lesser Sac: A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

Kar

Baxla

Kushwaha

et al. 2020

ijsr

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Primary internal hernia is a rare phenomenon, where there is protrusion of an abdominal organ mostly gut through epiploic foramen. Clinical presentation of internal hernia is non specific.Imaging has been of limited utility in cases of acute intestinal obstruction; moreover ,interpretation of imaging features is operator dependant. Thus internal hernias are usually detected at laparotomy and preoperative diagnosis in an emergency setting is either difficult or most of the time not suspected We describe the case of a 14-year-old male who presented with acute abdominal pain and abdominal distension with no history of trauma .A loop of jejunum was found to enter the lesser sac with multiple peforated jejunal loop 35cm distal to dj junction. .The segment of perforated bowel loop of length 10cm was resected and jejuno-jejunostomy was done.This is a rare type internal hernia into lesser sac.

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A Case of Retroperitoneal Hernia in Paracolic Gutter of the Descending Colon

Cited by 5 publications

References 0 publications

A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

A rare differential of acute abdomen: a case of internal hernia presenting as small bowel obstruction

Herniation Through Lesser Sac: A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

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