A Rare Case of Intestinal Obstruction from Internal Hernia through a Foramen Formed by Appendices Epiploicae – A Case Report and Review of Literature

Abstract

BACKGROUND: Internal hernias are uncommon causes of acute abdomen and intestinal obstruction. Internal herniation due to appendices epiploicae is very rare with only six cases reported in the literature.CASE REPORT: We, herein, present the report of a 64-year-old female who presented with features of intestinal obstruction due to internal herniation of a loop of small intestine through an orifice formed by the fusion of two appendices epiploicae. The band was divided into release the entrapped loop of bowel.CONCLUSION: A high index of suspicion with prompt surgical intervention will improve outcome.

Two connected large epiploic appendixes make a loop: A case report

“…The second case was reported 13 years later, after the report of the first case by Krijgsman and Salter 12 at Westcliff‐On‐Sea, Essex, United Kingdom. The other five studies are available through the literature, 6 , 7 , 8 , 9 , 10 as the two most recent were published in 2018 13 and 2020. 7 Butt et al 14 also reported another case of SBO due to the entrapment of a small bowel loop between two inflamed epiploic appendices.…”

“…The other five studies are available through the literature, 6 , 7 , 8 , 9 , 10 as the two most recent were published in 2018 13 and 2020. 7 Butt et al 14 also reported another case of SBO due to the entrapment of a small bowel loop between two inflamed epiploic appendices. Their case was a 48‐year‐old man who presented with colicky abdominal pain.…”

“…5 Still, the amount of herniation through large epiploic appendixes in the absence of appendagitis is very. [6][7][8][9][10] Here, we present a case of internal hernia in a woman with normal large epiploic appendixes.…”