Internal abdominal hernia: Intestinal obstruction due to trans-mesenteric hernia containing transverse colon

Crispín-Trebejo, Brenda; Robles‐Cuadros, María Cristina; Orendo-Velásquez, Edwin; Andrade, Felipe P.

doi:10.1016/j.ijscr.2014.01.013

Cited by 20 publications

(25 citation statements)

References 6 publications

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“…Diameter of the defect on the greater omentum varies from 2 to 10 cm [ 3 , 6 ], through which protrudes a part of the small bowel or occasionally another free segment of intestine as cecum or sigmoid colon [ 3 , 6 ]. Clinical manifestations are unspecific causing diagnosis delay [ 2 ]. Patients describe recurrent and ambiguous symptoms, combining paroxysmal abdominal pain, nausea, bloating and constipation that disappear spontaneously [ 3 , 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

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A spontaneous transomental hernia through the greater omentum

Tidjane¹,

Tabeti²,

Serradj³

et al. 2015

Pan Afr Med J

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Transomental hernia is the rarest form of internal hernias. Clinical expression of this pathology is ambiguous and diagnosis is often made at complication phase, after irreversible strangulation of the herniated loop. Radiological diagnosis is still difficult and intraoperative exploration usually allows discovering this pathology when patient is operated for acute intestinal obstruction. Treatment is surgical and aims to treat intestinal obstruction and prevent recurrence. We describe the case of a 65 years old male operated for a preoperatively suspected internal hernia; surgical exploration found a transomental hernia trough the greater omentum.

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Section: Discussionmentioning

confidence: 99%

“…Adult's Internal hernias (IH) are rare [ 1 , 2 ], they match to the protrusion of the intestine through a congenital or acquired intraperitoneal aperture [ 1 – 3 ], and must be differentiated from postoperative internal hernias. IH represent less than 1% of all acute intestinal obstruction (AIO) [ 1 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

A spontaneous transomental hernia through the greater omentum

Tidjane¹,

Tabeti²,

Serradj³

et al. 2015

Pan Afr Med J

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“…In autopsies, internal hernia has been reported to range from 0.2-0.9% [2]. In the reality, we know that 5.8% cases of small bowel obstruction are due to internal hernia [4].…”

Section: Discussionmentioning

confidence: 99%

“…The sex ratio exposed a male prevalence of 3:2 [2]. The aperture can be normal, encased with a sac or either abnormal, not possessing a sac.…”

Section: Introductionmentioning

confidence: 99%

“…Congenital anomalies due to improper intestinal rotation, previous trauma, vascular or inflammatory diseases, or postsurgical iatrogenic are predisposed factors to internal herniation. Internal hernias are generally classified into six types: paraduodenal, pericecal, foramen of Winslow, transmesenteric, pelvic and supravesical, and intersigmoid [2]. Internal hernias may present as intestinal obstruction and account for 0.5-4.1% of all cases [3].…”

Section: Introductionmentioning

confidence: 99%

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Internal hernias: Emergency department radiological dilemma

Özpolat¹,

Atalay²,

Ozkaya³

et al. 2015

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Internal abdominal hernias present a non-specific clinical presentation. Clinical diagnosis is often difficult so imaging studies. It plays an important role in the early diagnosis. Its diagnosis remains difficult even after the computed tomography (CT) scans disseminated accessibility and use. We present a case that was confirmed CT scan and treated with subsequent surgery. Case Report: A 37-year-old female presented to the emergency department with diffuse abdominal pain, developing suddenly an hour ago. In her physical examination, there was diffuse tenderness, and rebound and guarding in right upper and lower quadrants. A CT scan of the abdomen and pelvis with intravenous contrast demonstrated dilatation and left migration of the loops of jejenum, migration of inferior mesenteric vein to the left, and free fluid in abdomen. In the operation, it was seen that ileum was herniated around cecum (paracecal hernia). Conclusion: Internal abdominal herniations are rare conditions. Clinical presentation may be non-specific, and diagnosis is difficult if it is not thought. But delayed diagnosis results in increased mortality and non-viable intestinal tissue. So emergency physicians should aware of this condition and radiological images for early surgery consultation.

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