Internal hernia as a rare cause of ischaemic colitis: a case report and literature review

Wah, David Lan Cheong; Tam, Adrian; Sarkar, Anamitra

doi:10.1111/ans.14202

Cited by 2 publications

(5 citation statements)

References 9 publications

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“…The history of previous surgery should remind of acquired causes. An internal herniation, congenital or acquired, accounts for 0.6-5.8% of the small intestine obstructions (3). Paraduodenal herniations are the most frequent form of internal herniations, and they constitute about 53% of all internal hernias (5).…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, if there is no improvement in the clinical picture during an observation period of 48-72 hours, patients with strangulation or CT findings consistent with intestinal ischemia must be treated with urgent open surgery (10). Its prognostic mortality rate is more than 50% unless treated (3). In laparotomy, a lower abdominal median incision should be preferred, and an appropriate surgical technique should be performed considering the underlying causes.…”

Section: Discussionmentioning

confidence: 99%

“…Internal herniation is described as the protrusion of small bowel loops and the mesentery through visceral defects or peritoneal and mesenteric aperture into a compartment in the abdominal and pelvic cavity (3). Internal herniation is one of the rare causes of intestinal obstructions and it is seen in men three times as often as in women (2).…”

Section: Discussionmentioning

confidence: 99%

“…The most frequent causes of intestinal obstruction are adhesive bridges, volvulus, and invagination. Internal herniation accounts for 0.6-5.8% of intestinal obstruction (3). Paracaecal herniation is a rare type of internal hernia and it constitutes 2% of all internal herniation cases (4).…”

Section: Introductionmentioning

confidence: 99%

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Gebelikte Nadir Bir Akut Batın Nedeni: İnternal Herniasyon

Ural

Dağistanli

2020

Düzce Tıp Fakültesi Dergisi

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Internal herniation is one of the rare causes of intestinal obstruction. The most common causes of intestinal obstruction are adhesive bridges, volvulus, and invagination. The classic triad frequently seen in the clinic includes colic type abdominal pain, nausea/vomiting and absences of gas passage and defecation. It is very difficult to diagnose internal herniation during pregnancy due to the inability to see all clinical findings together, to confuse the findings with obstetric pain, and to the possible fetal side effects due to the application of radiological diagnostic methods. Because of high maternal and fetal mortality risk, it is important to make an early diagnosis and perform surgical intervention without any delay if necessary. In all pregnant women presenting with a diagnosis of acute abdomen, intestinal obstruction and the possibility of the internal herniation that may cause this clinical picture should be kept in mind.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Gebelikte Nadir Bir Akut Batın Nedeni: İnternal Herniasyon

Ural

Dağistanli

2020

Düzce Tıp Fakültesi Dergisi

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“…As a rare cause of bowel obstruction, IH accounts for 0.6 to 5.8% of cases 8 . The majority of studies on this subject included a small number of cases or only focused on one specific type of IH 9 . However, in this work, which includes a large number of cases, we discuss the detailed clinical characteristics and MDCT findings of both adhesive and non-adhesive IH.…”

Section: Introductionmentioning

confidence: 99%

Adhesive and non-adhesive internal hernia: clinical relevance and multi-detector CT images

Dou

Yang

Wang

et al. 2019

Sci Rep

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Internal hernia (IH)-related surgical acute abdomen is not well understood because of the rarity of cases and underdiagnosis. This study was performed to further understand the clinicopathological features and multi-detector computed tomography (MDCT) findings of IH in cases confirmed by surgery. In all, 51 patients with a definite diagnosis of IH confirmed during surgical exploration from Feb. 2012 to Feb. 2018 in our hospital were included in this research. Medical records, including MDCT images and intra-operative findings, were collected retrospectively. In all, 39 and 12 cases were categorized as adhesive IH (76.5%) and non-adhesive IH (23.5%), respectively. Among the patients with adhesive IH, 73% had a history of abdominal or pelvic surgery. Additionally, the mesentery was the most common component of adhesive bands (64.1%). Congenital peritoneal abnormalities and gastrointestinal reconstruction were the main causes of non-adhesive IH.As a specific sign, the fat notch sign was much more common in adhesive IH than in non-adhesive IH (P = 0.023). Bowel wall thickening (P = 0.041), abnormal bowel wall enhancement (P = 0.006) and twisted bowels with the vessel swirl sign (P = 0.004) were indicators of bowel necrosis. Among all of the cases of IH, 34 (66.7%) were complicated by bowel necrosis, and 1 patient died. In conclusion, non-adhesive IH has different clinicopathological features and MDCT findings from those of adhesive IH. MDCT is a useful tool with high sensitivity for confirming IH and may help to guide the early treatment of IH.

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Internal hernia as a rare cause of ischaemic colitis: a case report and literature review

Cited by 2 publications

References 9 publications

Gebelikte Nadir Bir Akut Batın Nedeni: İnternal Herniasyon

Gebelikte Nadir Bir Akut Batın Nedeni: İnternal Herniasyon

Adhesive and non-adhesive internal hernia: clinical relevance and multi-detector CT images

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