A rare case of internal hernia through a rent in Pouch of Douglas, six years after abdominal hysterectomy.

Abstract

<p><strong>Abstract </strong></p><p><strong>Introduction: </strong>Internal hernia presenting with intestinal obstruction is a rare entity with reported incidence of 0.6% to 5.8% only. The present case is of internal herniation through a peritoneal rent in the Pouch of Douglas, occurring six years after abdominal hysterectomy. Till date only 4 cases of hernia through a rent in pouch of Douglas are reported.</p><p><strong>Objective</strong>: Presenting here a case of internal hernia which was treated successfully</p><p><strong>Conclusion:</strong> Internal hernia occurring through peritoneal rent in Pouch of Douglas and presenting with intestinal obstruction six years after abdominal hysterectomy is rarest of its kind.</p

Report of a case and review of literature of internal hernia through peritoneal defect in pouch of douglas: A rare occurrence

“…A search for analogous cases in the literature revealed only six such cases, making this an exceedingly scarce occurrence. [ 1 2 5 6 7 8 ]…”

“…[ 9 10 ] All these cases were described in females and age of presentation and history of pregnancy varied in the reported cases. In the described cases, the basis of the hernia was assumed to be hysterectomy in three cases,[ 2 7 8 ] congenital in two cases [ 1 5 ] and in one case cause was undetermined. [ 6 ] As our patient had a hysterectomy 12 years earlier, the plausible cause of hernia would be hysterectomy.…”