Internal hernias are a rare cause of intestinal obstruction. Paraduodenal hernias are the most common type of internal hernias. Although small bowel obstruction is associated with internal hernias, large bowel obstruction is unique. The authors here report a case of left para duodenal hernia with simultaneous small and large bowel obstruction and gangrene. The patient underwent emergency laparo...

CONTEXT Internal hernias account for only 0.2 to 0.9% of the cases of intestinal obstruction. They do not have specific clinical manifestations, and are usually diagnosed during laparotomy for acute intestinal obstruction. Internal hernias through the lesser omentum are extremely rare. CASE REPORT We report here the case of a 36-year-old patient who underwent exploratory laparotomy for acute ...

A 44-year-old Japanese woman with no history of laparotomy presented with intermittent abdominal pain that had begun 10 hours earlier. Epigastric tenderness with no muscle guarding was observed. Abdominal contrast-enhanced computed tomography showed a dilated upper small intestine and a band near the stenosis (Figure 1). Internal hernia was diagnosed, and conservative treatment with analgesics was

traumatic abdominal wall hernias are a type of acquired hernia secondary to blunt trauma caused, by direct trauma from handlebar like objects. this rare hernia is named ‘handlebar hernia'. we report a case of such hernia without any significant intra-abdominal injury. the abdominal wall defect was repaired in layers by jones technique. postoperative course was uneventful. the authors recommend ...

A 65-year-old man presented in Beira Central Hospital, Mozambique, with a right scrotal mass (diameter 80 x 80 cm), evolved over 15 years. The patient could barely move, and his weight at admission was 142 kg (Fig 1A and 1B). History of previous diseases was unremarkable, his general condition was good, and he had normal vital parameters. Physical examination showed wrinkled and thickened scrot...

The corona mortis is defined as the vascular connection between the obturator and external iliac systems [1]. Usually, the obturator vessels originate from the internal iliac vessels and traverse the lateral pelvic wall along with the obturator nerve. There are marked variations of these vessels in relation to their origin, course and the distance from the pubic symphysis [2]. The name “corona ...