A 30-year-old female patient suffering from abdominal pain, nausea, vomiting and dyspeptic complaints over the past 2 days was admitted to our emergency department.process. The pain was associated with biliary vomiting. On physical examination, the temperature was normal. Her abdomen was distended with mild tenderness over the umbilical and epigastric areas. There was no surgical scar, no abdominal wall hernia and no abdominal mass.
Internal hernias, including paraduodenal (traditionally the most common), pericecal, foramen of Winslow, and intersigmoid hernias, account for approximately 0.5-5.8% of all cases of intestinal obstruction and are associated with a high mortality rate, exceeding 50% in some series. We report an extremely rare case of an internal abdominal hernia, through the right mesocolon, in a young woman with a right colon with no peritoneal fixation. This hernia was revealing by abdominal pain, nausea, and vomiting. The diagnosis of internal hernia was suggested by computed tomography (CT), but the exact type of internal hernia was confirmed by surgical exploration. The postoperative course was uneventful and the patient fully recovered after 3 days. The patient is free from symptoms and from recurrence, after 12 months of follow-up.
Background: Abdominal cocoon is a rare disease where small intestine is enclosed in a membrane and commonly presents with features of bowel obstruction. Case Reports: We present two cases: one 28 years old male presented with abdominal pain and was diagnosed as abdominal cocoon at laparotomy; and another 81 years old female, a case of sigmoid cancer, was diagnosed at laparotomy as abdominal cocoon. In both cases membrane enclosing small intestine was excised. Histopathology of membrane was reported as fibro-collagenous tissue. Discussion: Abdominal cocoon is a rare entity, and its etiology is poorly understood. In most of cases preoperative diagnosis is not made with certainty despite of advancement in imaging. So, most of cases are diagnosed at laparotomy. Excision of membrane is the definitive treatment of abdominal cocoon. Conclusion: A high index of suspicion is required for diagnosing abdominal cocoon.
La dilatation kystique du cholédoque est une pathologie rare, plus fréquente chez l'enfant. La symptomatologie clinique est non spécifique. La cholangio-IRM permet le diagnostic ainsi que la stadification précise des lésions. Le traitement est chirurgical. Nous rapportons un cas rare de dilatation kystique du cholédoque chez l'adulte, chez une patiente de 45 ans, porteuse de la maladie de von Recklinghausen. Pour citer cette revue : J. Afr. Hépatol. Gastroentérol. 5 (2011).
Mots clés Kyste · Cholédoque · von Recklinghausen · Chirurgie · IctèreAbstract A choledochal cyst is rare, occurring mostly in childhood. Clinical symptoms are non-specific. CholangioMRI had proved her great values in the classification of the disease. The treatment is surgical. We report the rare case of a 45 year old woman with a choledochal cyst, associated with von Recklinghausen syndrome. To cite this journal: J. Afr. Hépatol. Gastroentérol. 5 (2011).
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.