Internal hernia: An increasingly common cause of small bowel obstruction

Blachar, Arye; Federle, Michael P.

doi:10.1016/s0887-2171(02)90003-x

Cited by 143 publications

(157 citation statements)

References 32 publications

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“…As a result, precise diagnosis in most TOH cases, as in our case, is made during emergency surgery for strangulated SBO [3][4][5][6]. Recently, several studies have reported the usefulness of CT, especially multi-detector row CT, for the preoperative diagnosis of TOH [2,9,[12][13][14]. In addition to CT signs of small bowel strangulation, (1) a cluster of dilated small bowel loops in the right paracolic gutter (2) medial and posterior displacement of the ascending colon and cecum by dilated loops and (3) absence of omental fat between the dilated loops and anterior abdominal wall, are suggested as characteristic CT findings of TOH [12,13].…”

Section: Discussionmentioning

confidence: 67%

“…Internal hernia is a characteristic condition of SBO, in which a loop of the small bowel herniates through a congenital or acquired peritoneal or mesenteric aperture within the abdominal cavity, resulting in strangulation of the herniated bowel [1,[7][8][9][10][11]. Internal hernia is an unusual cause of SBO, accounting for only 0.6-5.8% of total SBO cases [7].…”

Section: Discussionmentioning

confidence: 99%

“…TOH is known to be more prone to develop strangulation of the herniated bowel than other types of internal hernia [2,4,7,9,10]. Therefore, for the treatment of TOH, emergency surgery must be attempted as soon as possible.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Transomental Hernia Combined with Incarcerated Inguinal Hernia: A Case Report

Ohtsuka¹,

Takahara²

2017

J Gastrointest Dig Syst

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An 85-year-old woman was admitted to our hospital because of appetite loss and vomiting. She had no previous history of abdominal surgery, trauma, or intra-abdominal inflammation. Following the diagnosis of a small bowel obstruction due to an incarcerated left inguinal hernia, manual hernia repositioning was attempted, and proceeded smoothly. However, 42 hour after the procedure, she suddenly developed abdominal pain without recurrence of the incarcerated inguinal hernia. Abdominal computed tomography revealed signs of small bowel strangulation; therefore, emergency surgery was performed 48 hour after admission. On laparotomy, a defect was found in the greater omentum, and a part of the ileum was incarcerated by the defect. The operative diagnosis was spontaneous transomental hernia. Incision of the greater omentum was performed, and no ischemic changes were observed in the ileum; therefore, bowel resection was not performed, and the left inguinal hernia orifice was repaired. The postoperative course was uneventful. The transomental hernia in our case might have been induced because of the incarcerated inguinal hernia. For patients plagued with persistent small bowel obstruction after successful manual repositioning of an incarcerated inguinal hernia, concurrent internal hernia should be considered as a possible cause of the persistent small bowel obstruction.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous Transomental Hernia Combined with Incarcerated Inguinal Hernia: A Case Report

Ohtsuka¹,

Takahara²

2017

J Gastrointest Dig Syst

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“…Due to the fact that these hernias can reduce spontaneously preoperatively, and because all the peritoneal spaces are not always routinely examined intraoperatively, they can go undiagnosed during open surgery. 1 In 1857 when Treitz described the peritoneal fold in the paraduodenal area he attributed paraduodenal hernias to the herniation of small bowel in the duodenojejunal fossa. 2 In 1923, however, Andrews declared the term 'paraduodenal hernia' a misnomer.…”

Section: Discussionmentioning

confidence: 99%

“…Right paraduodenal hernias account for only 25% of paraduodenal hernias and left-sided paraduodenal hernias for the rest. 1 A right-sided paraduodenal hernia is also called mesentericoparietal or congenital mesocolic hernia. 3 Anatomically there are a number of paraduodenal fossae.…”

Section: Discussionmentioning

confidence: 99%

Right paraduodenal hernia

Scheepers¹

2006

S. Afr. j. radiol.

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A 30-year-old man was referred from a peripheral hospital with a 6-day history of abdominal pain and vomiting. He had been constipated for the previous 3 weeks. He was acutely ill and de hydrated. His pulse rate was 102/min, blood pressure (BP) 115/65 mmHg, respiratory rate 20/min and temperature 37.9 ºC.Abdominal examination revealed a distended stomach with a succussion splash. There was no rebound tenderness and rectal examination revealed stools in the rectum. A provisional diagnosis of a gastric outlet obstruction was made and a nasogastric tube was inserted draining green gastric contents.An abdominal X-ray was rather nonspecific showing a single dilated loop of small bowel with some fluid levels in the right upper quadrant and stools and air in the rectum.Serum electrolytes and full blood count (FBC) were compatible with dehydration and vomiting, with urea 30.2 mmol/l, potassium 2.5 mmol/l, and sodium 130 mmol/l. The white cell count was 11.5 x 10 9 /l. Endoscopic examination showed a normal oesophagus and stomach

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Image of the Month—Diagnosis

2009

Arch Surg

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Internal hernia: An increasingly common cause of small bowel obstruction

Cited by 143 publications

References 32 publications

Spontaneous Transomental Hernia Combined with Incarcerated Inguinal Hernia: A Case Report

Spontaneous Transomental Hernia Combined with Incarcerated Inguinal Hernia: A Case Report

Right paraduodenal hernia

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