A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction
Primary internal hernias are extremely rare in adults. They are an important cause of small intestinal obstruction and lead to high morbidity and mortality if left untreated. Clinical presentation of internal hernia is nonspecific. Imaging has been of limited utility in cases of acute intestinal obs...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/3540794 |
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| author | Sibabrata Kar Vandana Mohapatra Pratap Kumar Rath |
| author_facet | Sibabrata Kar Vandana Mohapatra Pratap Kumar Rath |
| author_sort | Sibabrata Kar |
| collection | DOAJ |
| description | Primary internal hernias are extremely rare in adults. They are an important cause of small intestinal obstruction and lead to high morbidity and mortality if left untreated. Clinical presentation of internal hernia is nonspecific. Imaging has been of limited utility in cases of acute intestinal obstruction; moreover, interpretation of imaging features is operator dependant. Thus, internal hernias are usually detected at laparotomy and preoperative diagnosis in an emergency setting is either difficult or most of the time not suspected. We report herein a case of a 45-year-old male who presented with acute intestinal obstruction which was attributed later to a very rare type of internal hernia on exploratory laparotomy. A loop of ileum was found to enter the retroperitoneum through a hernia gate which was located lateral to the sigmoid colon in the left paracolic gutter. The segment of intestine was reduced and the hernial defect was closed. Our finding represents an extremely rare variant of retroperitoneal hernias. |
| format | Article |
| id | doaj-art-d3095392df4c40dd80b75a40b3e0982e |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-d3095392df4c40dd80b75a40b3e0982e2025-08-20T02:19:51ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/35407943540794A Rare Type of Primary Internal Hernia Causing Small Intestinal ObstructionSibabrata Kar0Vandana Mohapatra1Pratap Kumar Rath2Department of General Surgery, Shri Ramachandra Bhanj (S.C.B.) Medical College, Cuttack, Odisha 753007, IndiaDepartment of Obstetrics & Gynaecology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha 751019, IndiaDepartment of General Surgery, Shri Ramachandra Bhanj (S.C.B.) Medical College, Cuttack, Odisha 753007, IndiaPrimary internal hernias are extremely rare in adults. They are an important cause of small intestinal obstruction and lead to high morbidity and mortality if left untreated. Clinical presentation of internal hernia is nonspecific. Imaging has been of limited utility in cases of acute intestinal obstruction; moreover, interpretation of imaging features is operator dependant. Thus, internal hernias are usually detected at laparotomy and preoperative diagnosis in an emergency setting is either difficult or most of the time not suspected. We report herein a case of a 45-year-old male who presented with acute intestinal obstruction which was attributed later to a very rare type of internal hernia on exploratory laparotomy. A loop of ileum was found to enter the retroperitoneum through a hernia gate which was located lateral to the sigmoid colon in the left paracolic gutter. The segment of intestine was reduced and the hernial defect was closed. Our finding represents an extremely rare variant of retroperitoneal hernias.http://dx.doi.org/10.1155/2016/3540794 |
| spellingShingle | Sibabrata Kar Vandana Mohapatra Pratap Kumar Rath A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction Case Reports in Surgery |
| title | A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction |
| title_full | A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction |
| title_fullStr | A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction |
| title_full_unstemmed | A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction |
| title_short | A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction |
| title_sort | rare type of primary internal hernia causing small intestinal obstruction |
| url | http://dx.doi.org/10.1155/2016/3540794 |
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