INTRODUCTION The incidence of occlusion syndrome caused by internal hernia is very rare, in particular when the defect is congenital discovered in adults with no previous abdominal surgery. PRESENTATION OF CASE We present a case of a 31 year-old female patient who presented with acute abdominal pain and mechanical obstruction. The patient had never undergone abdominal surgery. DISCUSSION On...

Introduction. Internal hernias are often misdiagnosed because of their rarity, with subsequent significant morbidity. Case Presentation. A 61-year-old Japanese man with no history of surgery was referred for intermittent abdominal pain. CT suggested the presence of a transmesocolic internal hernia. The patient underwent a surgical procedure and was diagnosed with transmesocolic internal hernia....

intra-abdominal hernias are rare conditions usually secondary to congenital defects, with pericecal hernias accounting for a minority of them. they can be difficult to diagnose due to non-specific presentations but may lead to strangulation and thus require early management. we herein report a rare case of pericecal hernia with gangrenous appendicitis in an 88 year-old lady presenting with feat...

abdominal wall hernia is common but reliable scientific data about its work relatedness is very limited and inconsistent. in this paper, a less common type of abdominal wall hernia in a 30 year old male worker is presented with recurrence after first surgery when he returned to work. in contrast with almost all kinds of hernia, a lifelong limitation for heavy lifting was recommended. it seems t...

Amyand’s hernia (AH) is an inguinal hernia that contains the vermiform appendix within its sac and is difficult to diagnose preoperatively. We encountered a case of AH with acute perforated appendicitis and peritonitis, which was diagnosed based on preoperative CT. Intraoperatively, we discovered that the internal inguinal ring was small, and part of the appendix was within the hernia sac; the ...

INTRODUCTION The detailed knowledge of the peritoneal recesses has great significance with respect to internal hernias. The recesses are usually related to rotation and adhesion of abdominal viscera to the posterior abdominal wall and/or the presence of retroperitoneal vessels which raises the serosal fold. The duodenal recesses are usually related to the 3rd and 4th parts of the duodenum. Inte...

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

An 73-year-old man, with no abdominal surgical history, presented to the emergency in an array of acute intestinal obstruction. Abdominal CT-Scan axial (A) and coronal (B) sections were performed objectifying hernia sac containing intestinal structure hail externalized through a collar on the outer edge of the rectus muscle on Spiegel’s line with no sign of digestive sufferance. The laparoscopi...

Afferent loop syndrome (ALS) is a rare complication of Billroth-II gastrojejunostomy. Most cases of ALS are caused by obstruction from adhesions, kinking at the anastomosis, internal hernia, stomal stenosis, malignancy, or inflammation surrounding the anastomosis. A 61-years old man, who had undergone gastric resection 30 years before, was admitted at emergency room with severe abdominal pain i...