Abdominal hernias: Radiological features

Lassandro, Francesco; Iasiello, Francesca; Pizza, Nunzia Luisa; Valente, Tullio; Stefano, Maria Luisa Mangoni di Santo; Grassi, Roberto; Muto, R.

doi:10.4253/wjge.v3.i6.110

Cited by 95 publications

(69 citation statements)

References 35 publications

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“…CT features of IH include observation of a saclike mass or cluster of dilated small bowel loops at an abnormal anatomic location in the presence of SBO and observation of an engorged, stretched, or displaced mesenteric vascular pedicle and of converging vessels at the hernia orifice [10]. Complications such as ischemia, necrosis, or perforation and inflammatory changes can also be established on multidetector CT [11]. CT scan is thus a valuable tool in the early diagnosis and planning of surgical exploration in patients with IH and radiologists need to be familiar with the characteristic CT findings.…”

Section: Discussionmentioning

confidence: 99%

A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

Kar

Mohapatra

Rath

2016

Case Reports in Surgery

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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.

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Section: Discussionmentioning

confidence: 99%

A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

Kar

Mohapatra

Rath

2016

Case Reports in Surgery

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“…The acquired Hernia may be caused by conditions that increase the pressure in the abdominal cavity (obesity, coughing, straining), from previous surgical procedure (incisional hernia) or from typical trauma, preperitoneal fat, or the greater omentum protrudes through the hernial defect. If the hernia is left untreated, bowel loops may be incorporated into the hernia [17].…”

Section: Discussionmentioning

confidence: 99%

A Brief Review of Jorjani’s Views on Hernias

Farahani

Abbaszadeh

MahtabTeymuri

et al. 2017

MOJAP

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Seyed Esmail Jorjani is one of the greatest Iranian physicians (1042-1136 AC), he has written a book entitled Zakhirah-I Khvarazm Shahi (known as Zachariah). This book is oldest medical encyclopedias written in Persian, it contains a complete subject about hernia. Jorjani described anatomy of anterior abdominal wall and its layers include peritoneum, process vaginalis and tunica vaginalis of testis. He argued about hernias from pathology and etiological point of view and classified abdominal hernias in thousand years ago. European Hernia Society classified the hernias into: lateral, medial and femoral (2007). Birindelli classified anterior abdominal hernias into groin hernias, ventral hernias (2017). Jorjani classified hernia into visceral, flatus, hydrocele (1130AC). The findings of this paper show the hernias subject of Zachariah has no scientific contradiction with new references.

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“…It can be classified into congenital and acquired based on its etiology and into internal and external types [1]; some authors also include diaphragmatic types [2]. …”

Section: Abdominal Herniasmentioning

confidence: 99%

Abdominal Hernias, Giant Colon Diverticulum, GIST, Intestinal Pneumatosis, Colon Ischemia, Cold Intussusception, Gallstone Ileus, and Foreign Bodies: Our Experience and Literature Review of Incidental Gastrointestinal MDCT Findings

Grezia¹,

Gatta

Rella

et al. 2017

BioMed Research International

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Incidental gastrointestinal findings are commonly detected on MDCT exams performed for various medical indications. This review describes the radiological MDCT spectrum of appearances already present in the past literature and in today's experience of several gastrointestinal acute conditions such as abdominal hernia, giant colon diverticulum, GIST, intestinal pneumatosis, colon ischemia, cold intussusception, gallstone ileus, and foreign bodies which can require medical and surgical intervention or clinical follow-up. The clinical presentation of this illness is frequently nonspecific: abdominal pain, distension, nausea, fever, rectal bleeding, vomiting, constipation, or a palpable mass, depending on the disease. A proper differential diagnosis is essential in the assessment of treatment and in this case MDCT exam plays a central rule. We wish that this article will familiarize the radiologist in the diagnosis of this kind of incidental MDCT findings for better orientation of the therapy.

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Abdominal hernias: Radiological features

Cited by 95 publications

References 35 publications

A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

A Rare Type of Primary Internal Hernia Causing Small Intestinal Obstruction

A Brief Review of Jorjani’s Views on Hernias

Abdominal Hernias, Giant Colon Diverticulum, GIST, Intestinal Pneumatosis, Colon Ischemia, Cold Intussusception, Gallstone Ileus, and Foreign Bodies: Our Experience and Literature Review of Incidental Gastrointestinal MDCT Findings

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