A transomental hernia through the greater or lesser omentum is rare, accounting for approximately 4% of internal hernias. Transomental hernias are generally reported in patients aged over fifty. In such instances, acquired transomental hernias are usual, are commonly iatrogenic, and result from surgical interventions or from trauma or peritoneal inflammation. In rare cases, such as the one desc...

A 32-year-old woman (gravida 2, para 2) presented with severe, midepigastric abdominal pain that began 3 hours after delivery. Her surgical history was significant for laparoscopic Roux-en-Y gastric bypass (LRYGB) 4 years earlier. An axial computed tomographic (CT) image of the abdomen depicted twisting of central mesentery and origin of the “swirl” (image A, arrow). A coronal CT image of the a...

Internal abdominal hernias are a rare cause of intestinal obstruction (0.2-0.9%). Transmesenteric hernia is a rare type of internal hernia and usually in adult people is acquired. We report the case of a 44 year-old caucasian female with a small bowel occlusion after right nephrectomy for clear cell renal carcinoma caused by an acquired transmesenteric hernia. We emphasize the role of CT scanni...

abstract bowel obstruction is a known complication after bariatric surgery especially roux-en-y gastric bypass. the known etiologies include internal hernia, jejunojejunostomy stricture, ileus, intussusceptions, superior mesenteric artery syndrome, incarcerated port site hernia, and adhesions. blood clot is a rare cause of small intestinal obstruction after laparoscopic roux-en-y gastric bypass...

Internal hernia is a rare cause of intestinal obstruction and most cases of internal hernia are left paraduodenal hernia. It typically involves the fossa of Landzert just lateral to the fourth portion of the duodenum. Patients with left paraduodenal hernia do not have specific clinical manifestations and preoperative radiological diagnosis is difficult. Mortality increases significantly with de...

Superior lumbar triangle hernia, also known as Grynfeltt-Lesshaft hernia, denotes a subtype of abdominal wall hernia, and more specifically of lumbar hernia, occurring between the 12th rib, the internal oblique muscle, and the quadratus lumborum muscle. We report the case of a 92-year-old female patient in which this form of hernia occurred, complicated by incarceration and acute bowel obstruct...

INTRODUCTION The aim is to report the diagnostic strategy, clinical findings and treatment in patients admitted on suspicion of early or late complications associated with a previous laparoscopic Roux-en-Y gastric bypass (LRYGB). MATERIAL AND METHODS Patients admitted in 2011-2012 to our department with the International Classification of Diseases 10 code DZ980C (condition with a gastric bypa...

Sciatic hernia is a rare pelvic floor hernia that occurs through the greater or lesser sciatic foramen. Sciatic hernias often present as pelvic pain, particularly in women, and diagnosis can be difficult. Sciatic hernia is one of the rarest forms of internal hernia, which can present as signs and symptoms of small bowel obstruction, swelling in the respective gluteal region or pelvic pain. Tran...

Biliary complications have great importance for liver transplant recipients because of affecting long-term prognosis. In rare situations, an internal hernia of the Roux-en-Y loop cause graft injury. A 42-year-old woman with a history of living donor liver transplantation 6 years ago presented with prolonged graft injury during the past 6 months. She suddenly developed ileus of the small bowel w...