Internal supravesical hernia

Ansari, Ahmad Kamal; Alzoabi, Osama M.; Mohammad, Ali Jaffer; Badri, Faisal; Al-Mazrouei, Alya

doi:10.7707/hmj.719

Cited by 3 publications

(10 citation statements)

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“…Thirty-four studies met our inclusion criteria and were included in this systematic review. 3,6,7, Figure 1 presents the detailed trial flow of this study. They were published from 1904 to 2020 with the majority of them being published after 2009.…”

Section: Resultsmentioning

confidence: 99%

“…Literature search yielded 525 articles. Thirty‐four studies met our inclusion criteria and were included in this systematic review 3,6,7,12–42 . Figure 1 presents the detailed trial flow of this study.…”

Section: Resultsmentioning

confidence: 99%

“…Failure of the integrity of the abdominis aponeurosis and the transversalis fascia is the most commonly suggested cause of their formation. 3 Furthermore, abnormal retrogression of foetal structures or congenital weakness of connective tissue may constitute predisposing factors for the development of supravesical or other concurrent hernias. 25 An external SH presenting as a 'recurrent' inguinal hernia was characteristically observed in a 5-year-old female patient.…”

Section: Discussionmentioning

confidence: 99%

“…The occurrence of SH is mainly attributed to the laxity of the transverse abdominis muscle's aponeurosis and transversalis fascia. 3 SHs are classified as external or internal hernias, depending on the location of protrusion. The most common external type develops through the anterior abdominal wall, whereas the internal type remains inside the abdomen and penetrates either the retropubic space of Retzius or rarely the retrovesical space.…”

Section: Introductionmentioning

confidence: 99%

“…It is bounded medially by the median umbilical ligament (remnant of the foetal urachus), laterally by the medial umbilical ligaments (remnants of the foetal umbilical arteries) and inferiorly by the peritoneal reflection which covers the bladder dome. The occurrence of SH is mainly attributed to the laxity of the transverse abdominis muscle's aponeurosis and transversalis fascia 3 …”

Section: Introductionmentioning

confidence: 99%

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Supravesical hernias: a systematic review of the literature

Katsaros

Routsi

Papapanou

et al. 2020

ANZ Journal of Surgery

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Background: A supravesical hernia (SH) is a rare abdominal wall hernia that is defined by the protrusion of abdominal viscera through the supravesical fossa. The objective of this study was to review current literature on SHs and elucidate their clinical manifestations and preferred therapeutic approach. Methods: PubMed, Embase and Cochrane bibliographical databases were searched (last search: 30 March 2020) for articles reporting on SHs. Results: Thirty-four studies met our inclusion criteria and involved collectively 38 patients (94.7% males) with an age of 59.57 AE 14.84 (mean AE standard deviation) years. Abdominal pain (81.6%) and nausea and vomit (71.1%) were the most frequently encountered symptoms. The majority of patients (78.1%) had signs of bowel obstruction. Twenty-nine patients (76.3%) suffered from an internal SH, while nine (23.7%) had an external one. An open hernia repair was conducted at 29 patients (76.3%), while eight (21.1%) had a laparoscopic approach and in one case (2.6%) the laparoscopic operation was converted to an open one. A mesh was applied at 14.3% of included cases. Eight patients (21.1%) underwent a bowel resection and hernia sac was resected at six (15.8%) cases. Four patients (11.8%) experienced postoperative complications and one patient (2.9%) died on first postoperative day. Conclusion: SH is an extremely rare type of hernia occurring through the supravesical fossa between the remnants of urachus and foetal umbilical arteries. All clinicians should be aware of this entity and further studies are necessary in order to clarify their aetiology, true incidence and optimal therapeutic approach.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Supravesical hernias: a systematic review of the literature

Katsaros

Routsi

Papapanou

et al. 2020

ANZ Journal of Surgery

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The role of CT in acute bowel obstruction due to a supravesical hernia, a case report from Nepal

Panthi,

Thapaliya,

Khadka

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction and importance: Supravesical hernias are rare internal hernias but potential cause of small bowel obstruction. The clinical features are often non-specific, preoperative diagnosis is very difficult and is often diagnosed intraoperatively. The exact pathogenesis is unclear with the major risk factors of prematurity, a positive family history, male gender, smoking habits leading to decreased collagen production, advancing age, and conditions characterized by defective collagen synthesis Case presentation: We are reporting a case of small bowel obstruction secondary to a supravesical hernia, in a 78-year-old male presented with central abdominal pain, vomiting and obstipation. Ultrasonography of the abdomen and pelvis identified a marked dilation of the small bowel loop with multiple loops of dilated jejunum and ileum in contrast-enhanced CT scan of the abdomen and pelvis with lead point from the terminal ileum. Exploratory laparotomy was done with the diagnosis of left posterior a left posterior superior vesical hernia with small bowel obstruction. Clinical discussion: The case focuses supravesical hernia as a rare yet life-threatening etiology of small bowel obstruction, emphasizing the importance of clinical suspicion when patients present with signs and symptoms of bowel obstruction. While diagnosis often occurs intraoperatively, the utilization of computed tomography (CT) scans in emergency settings can provide valuable insights into the location, potential causes, and condition of the herniated bowel sac. The case highlights the pivotal role of computed tomography (CT) scans in diagnosis and emphasizes the need for multidisciplinary cooperation among clinicians, radiologists, and surgeons. Conclusion: Early intervention ensures better outcomes and prevents irreversible bowel damage, underscoring the importance of a comprehensive approach to patient care.

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