Intra-Abdominal Hernias Due to Developmental and Rotational Anomalies

Zimmerman, Leo M.; Laufman, Harold

doi:10.1097/00000658-195307000-00010

Cited by 67 publications

(28 citation statements)

References 1 publication

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“…When the ascending colon becomes fixed to the retroperitoneum, the small bowel loops become trapped behind the mesentery. A left paraduodenal hernia is thought to result from reversed rotation, resulting in the small bowel becoming trapped by the mesentery of the descending colon upon its retroperitoneal fixation [5]. The findings at laparotomy in this case are clearly different to the paraduodenal hernias described in the literature.…”

Section: Discussionmentioning

confidence: 52%

An Unusual Case of Malrotation in a Baby Conceived by In vitro Fertilization

Pardy¹

2014

JPNC

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Section: Discussionmentioning

confidence: 52%

An Unusual Case of Malrotation in a Baby Conceived by In vitro Fertilization

Pardy¹

2014

JPNC

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“…1 About half of patients with paraduodenal hernias have intestinal obstruction, which may be low grade, chronic, and recurrent or may be high grade and acute. [3][4][5] In acute bowel obstruction, patients have colicky abdominal pain with vomiting. Features of internal hernia on a barium meal study and CT scan are available, but reports are very scanty.…”

Section: Discussionmentioning

confidence: 99%

Sonographic Features of Internal Hernia

Vijayaraghavan¹

2006

Journal of Ultrasound in Medicine

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Objective. The purpose of this series is to describe the sonographic findings in 4 patients with intestinal obstruction due to internal hernia. Methods. Four patients had clinical features of intestinal obstruction. Sonography was performed with broadband convex and linear array transducers in these patients. Results. In all 4 patients, there were features of intestinal obstruction with a zone of transition between dilated and nondilated bowel. There was a cluster of crowded, compressed, and aperistaltic small-bowel loops, as if they were tightly packed within a sac, by the side of this zone in 3 patients. This appearance was due to obstruction of the afferent loop caused by compression. In the last patient, there were 2 loops of dilated bowel within a sac outlined by fluid due to obstruction of the efferent loop. All 4 patients had obstructed internal hernias at laparotomy. Conclusions. Sonographic features of internal hernia are described. Key words: internal hernia; paracecal; paraduodenal; sonography. Because of the risk of strangulation of the hernia contents, even small internal hernias are dangerous and may be lethal. This necessitates an early and confident diagnosis. The diagnostic features of this condition on barium studies, angiography, and computed tomography (CT) have been described. To my knowledge, there is only 1 report of sonographic features of internal hernia, but diagnostic criteria that would allow more confident sonographic diagnosis have not been evaluated. Four cases of internal hernia are reported here. Case DescriptionsCase 1 A 25-year-old man had epigastric pain and vomiting. Because the symptoms did not resolve with conservative treatment, he was referred for sonography. There were multiple dilated small-bowel loops showing active peristalsis suggestive of small-bowel obstruction. The dilated loop was traced to determine the level of obstruction. A point of transition between the dilated and nondilated

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“…Triple abnormal hiatuses were found, all of which were considered to have been preformed. According to the literature, laparotomies for internal hernia have been performed under various diagnoses, 4,5,7,10,11,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] and rotational anomalies, peritoneal fixation, or fusion abnormalities have been occasionally found. Other types of internal hernias have also been surmised to be related to congenital disorders.…”

Section: Discussionmentioning

confidence: 99%

Internal hernia with triple hiatus of congenital origin: Report of a case

Fujiwara¹,

Ohno²,

Sasaki³

et al. 2000

Surg Today

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We report herein the case of a 65-year-old woman who was referred to our department with prolonged ileus symptoms despite conservative therapy. A plain abdominal radiograph showed intestinal gas shadows with an air-fluid level in the lesser curvature of the stomach. As no improvement was achieved by the insertion of a short tube, a long tube was inserted. A loop formation of the long tube in the subphrenic region was detected on an abdominal radiograph, and an enterogram showed an interruption in the ileum in the lower abdomen. The patient was diagnosed as having an adhesional ileus and a strangulated ileus due to a lesser sac hernia. A laparotomy was performed which revealed that the small intestine had herniated into the lesser sac space through a hiatus of Treitz' fossa and a hiatus in the transverse mesocolon. Furthermore, part of the small intestine had herniated through an omental hiatus. The herniated intestine was manually reduced and the hiatus was closed. However, as the right ovary was found to have adhered to the ileum and stenosis was seen, we were forced to perform partial resection of the ileum. Considering that this patient had no history of laparotomy in the upper abdomen, abdominal injury, or acute abdomen, it was surmised that the three abnormal hiatuses were congenital.

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Intra-Abdominal Hernias Due to Developmental and Rotational Anomalies

Cited by 67 publications

References 1 publication

An Unusual Case of Malrotation in a Baby Conceived by In vitro Fertilization

An Unusual Case of Malrotation in a Baby Conceived by In vitro Fertilization

Sonographic Features of Internal Hernia

Internal hernia with triple hiatus of congenital origin: Report of a case

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