Internal Hernia

Steinke, Carl R.

doi:10.1001/archsurg.1932.01160230092008

Cited by 158 publications

(6 citation statements)

References 7 publications

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“…1,2 Paraduodenal hernia, found in about half of the cases of internal hernia associated with small intestinal obstruction, 3,4 occurs with the herniation of the small bowel into an unusual fossa in the periduodenal area 5 and frequently manifests as acute intestinal obstruction. 6,7 Thus, paraduodenal hernia is generally taken into consideration as a differrential diagnosis of small bowel obstruction if the patient has had no previous abdominal surgery.…”

Section: Introductionmentioning

confidence: 99%

Unusual variant of left paraduodenal hernia herniated into the mesocolic fossa leading to jejunal strangulation

Shoji

Koide

Shima³

et al. 1998

Journal of Gastroenterology

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Paraduodenal hernia is a rare condition in which the small bowel loops are herniated into an unusual fossa in the periduodenal area. We treated a patient with paraduodenal hernia diagnosed preoperatively. A 28-year-old woman was admitted to our hospital because of intermittent abdominal pain. Abdominal ultrasonography revealed a large tumor adjacent to the pancreas. Provisional diagnosis made according to computed tomography (CT) findings was tumor of the pancreas tail. However, on a CT scan performed after the administration of diatrizoate meglumine/diatrizoate sodium (Gastrografin, Schering, Berlin, Germany) the mass was shown as a jejunum loop located between the stomach and the pancreas body. Subsequent laparotomy revealed that the jejunum loop was herniated into an unusually large mesocolic fossa and that the hernial orifice was covered by the adhesion between the transverse and descending colons. It seemed that the small intestine within the mesocolic fossa was strangulated by this adhesion. The patient's abdominal pain resolved postoperatively. These observations suggest that paraduodenal hernia should be suspected in patients with chronic, atypical abdominal pain, regardless of the findings for small bowel obstruction.

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Section: Introductionmentioning

confidence: 99%

Unusual variant of left paraduodenal hernia herniated into the mesocolic fossa leading to jejunal strangulation

Shoji

Koide

Shima³

et al. 1998

Journal of Gastroenterology

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“…Internal hernia is defined as the herniation of an organ into an unusually large fossa, fovea, or foramen in the abdominal cavity [ 1 ]. Internal hernias occur in 0.2–5.8% of all cases of small bowel obstruction [ 2 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Internal hernia is a rare condition that causes intestinal obstruction. It is defined as the herniation of an organ into an unusually large fossa, fovea, or foramen in the abdominal cavity [ 1 ]. Internal hernias are reported to comprise 0.2–5.8% of all cases of small bowel obstruction, which itself is a rare disease [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

A case of internal hernia in the pararectal fossa

Matsuishi,

Saito,

Ohuchi

et al. 2023

surg case rep

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Background Internal hernias are relatively rare and difficult to diagnose. Diagnostic delays lead to the progression of strangulation. In particular, pararectal fossa hernias are extremely rare. We encountered a case in which internal hernia occurred in the pararectal fossa. Case presentation An 87-year-old woman was referred to our hospital because of persistent lower abdominal pain and vomiting. Contrast-enhanced computed tomography revealed findings of intestinal ischemia, such as closed loop formation with reduced contrast effect on the left side of the rectum in the pelvis. Strangulation small bowel obstruction was diagnosed, and emergency laparotomy was performed. The small intestine was found to invade the peritoneal reflection on the left side of the rectum. The patient was finally diagnosed with pararectal fossa hernia. The incarcerated small intestine was released with no bowel resection. The 4-cm hernia phylum was observed and closed by simple suture. The patient had a good postoperative course without recurrence. Conclusions We encountered a very rare case of internal hernia in the left pararectal fossa. Preoperative diagnosis of this disease is difficult, but it should nevertheless be considered in cases in which the cause of the intestinal obstruction is unknown.

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“…Saki Nagashima 1) 2) , Shigeru Fujisaki 1) , Motoi Takashina 1) , Kenichi Sakurai 1) 2) , Ryoichi Tomita 3) and Tadatoshi Takayama We report a rare case of small-bowel obstruction due to hernia bursae omentalis. A 61-year-old man was admitted because of upper abdominal pain.…”

Section: A Rare Hernia Bursae Omentalis Accompanied By Dysplasia Of Tmentioning

confidence: 97%

A Rare Hernia Bursae Omentalis Accompanied by Dysplasia of the Gastrocolic Ligament

Saki

Fujisaki

Takashina

et al. 2015

Jpn J Gastroenterol Surg, Nihon Shokaki Geka Gakkai zasshi

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Internal Hernia

Cited by 158 publications

References 7 publications

Unusual variant of left paraduodenal hernia herniated into the mesocolic fossa leading to jejunal strangulation

Unusual variant of left paraduodenal hernia herniated into the mesocolic fossa leading to jejunal strangulation

A case of internal hernia in the pararectal fossa

A Rare Hernia Bursae Omentalis Accompanied by Dysplasia of the Gastrocolic Ligament

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