Internal Abdominal Hernias

Meyers, Morton A.; Charnsangavej, Chusilp; Oliphant, Michael

doi:10.1007/978-1-4419-5939-3_17

Cited by 19 publications

(13 citation statements)

References 71 publications

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“…We report a rare case of a 47-year-old female with strangulated small bowel obstruction secondary to an intramesosigmoid hernia preoperative diagnosis by multidetector row computed tomography. We highlight the preoperatively diagnosed value and findings of MDCT in intramesosigmoid hernia.Internal hernias account for 0.5% to 4.1% of intestinal obstruction [1] and only 6% of all internal hernias are sigmoid mesocolon hernias [2,3]. Preoperative diagnosis is difficult because its non-specific symptoms vary widely, from mild abdominal pain to bowel obstruction and ischemia.…”

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confidence: 99%

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Intramesosigmoid hernia: preoperative diagnostic MDCT findings

et al. 2011

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Internal hernias, protrusion of abdominal viscera into an intraperitoneal fossa, are uncommon causes of bowel obstruction, and preoperative diagnoses are difficult. We report a rare case of a 47-year-old female with strangulated small bowel obstruction secondary to an intramesosigmoid hernia preoperative diagnosis by multi-detector row computed tomography. We highlight the preoperatively diagnosed value and findings of MDCT in intramesosigmoid hernia.

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confidence: 99%

“…Internal hernias account for 0.5% to 4.1% of intestinal obstruction [1] and only 6% of all internal hernias are sigmoid mesocolon hernias [2,3]. Preoperative diagnosis is difficult because its non-specific symptoms vary widely, from mild abdominal pain to bowel obstruction and ischemia.…”

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confidence: 99%

Intramesosigmoid hernia: preoperative diagnostic MDCT findings

et al. 2011

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“…Internal hernia is defined as protrusion of abdominal organs into the foramen or recess within the abdominal cavity, and it accounts for 0.5–3% of all cases of intestinal obstruction [4]. Internal hernias are further classified into six types: paraduodenal, foramen of Winslow, paracecal, intersigmoid, transmesenteric or transmesocolic, and retroanastomotic [4]. Paracecal hernias account for 13% of all internal hernias [5].…”

Section: Discussionmentioning

confidence: 99%

“…Meyer et al [4] have classified paracecal hernia into four subtypes as internal type, retrocecal recess type, lateral type, and unclassifiable type (cecal recess type). In our case, the hernia orifice was located at the right lateral side of the cecum, and a loop of the small intestine was incarcerated in the right paracolic gutter, pushing the ascending colon medially.…”

Section: Discussionmentioning

confidence: 99%

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter

et al. 2019

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BackgroundParacecal hernias, also known as pericecal hernias, are an exceptionally rare type of internal hernia. We report a unique case of paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter.Case presentationAn 86-year-old female was admitted to our hospital with vomiting and abdominal pain. Laboratory findings showed a slightly elevated C-reactive protein level. Computed tomography scan showed dilated loops of the small intestine in the right paracolic gutter with medial displacement of the cecum and ascending colon. Internal hernia around the cecum due to postoperative adhesion after appendectomy was suspected, and she underwent emergency laparotomy. Intraoperative findings revealed the adhesion between the omentum and right paracolic gutter forming a cavity with the small intestine incarcerated. No abnormal adhesion in the ileocecal region was seen. We transected the omental adhesion from the orifice to the far end of the cavity near the hepatic flexure of the colon to release strangulation and to prevent recurrence. The patient was discharged on postoperative day 14 without complications.ConclusionsParacecal hernias have a type of membranous adhesion of the omentum to the right paracolic gutter. Surgeons should be aware of this paracecal hernia type, when they encounter the internal hernia.

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“…Protrusion of abdominal viscera through an opening within the boundaries of the peritoneum could be termed Internal Hernia [ 1 ], accounting for 0.6% to 5.8% of the cases of intestinal obstruction [ 2 ]. Though it can be both through congenital or acquired defects, the rarest ones are those herniating through congenital defects and presenting later in life.…”

Section: Introductionmentioning

confidence: 99%

Internal Hernia Through a Congenital Defect in Broad Ligament: A Rare and Elusive Cause of Intestinal Obstruction

Nandi¹,

Jain²,

Kainth³

et al. 2022

Cureus

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Internal hernias through a defect in the broad ligament is an uncommon cause of intestinal obstruction and most often the finding is intra-operative. What makes it rare is when the hernia occurs through a congenital defect in the broad ligament. We present the case of a 48-year-old female patient operated on an emergency basis for intestinal obstruction and intra-operatively the cause was identified to be a herniated ileal loop through a defect in the broad ligament. There was no history of any prior abdominal surgery or any interventions and all of her children were born by normal vaginal delivery, making it a case of congenital broad ligament defect. The postoperative period was uneventful and she was discharged in good health.

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Internal Abdominal Hernias

Cited by 19 publications

References 71 publications

Intramesosigmoid hernia: preoperative diagnostic MDCT findings

Intramesosigmoid hernia: preoperative diagnostic MDCT findings

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter

Internal Hernia Through a Congenital Defect in Broad Ligament: A Rare and Elusive Cause of Intestinal Obstruction

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