a 41-year old mentally retarded patient presented acutely with a 3 day history of vomiting and absolute constipation.  intestinal obstruction was diagnosed following an abdominal x ray. at laparotomy, a left paraduodenal hernia was present, without incarceration of small bowel. the herniated loops were reduced and the hernia orifice closed. the anatomy, treatment and importance of considering t...

a 47 years old lady presented with repeated intermittent, colicky, left upper, and periumblical abdominal pain associated with nausea and vomiting since two years prior to admission. each episode of the pain spontaneously subsided after bilious vomiting. the patient had no history of surgery, abdominal trauma or intra-abdominal infection, weight loss or previous history for small bowel obstruct...

An internal hernia-congenital or acquired-is a protrusion of bowel through an opening in the peritoneum or mesentery. Internal hernias are the etiology of <2% of intestinal obstructions, with paraduodenal hernias being the most common type of congenital internal hernia. We report a case of a left paraduodenal hernia (LPDH) combined with partial small bowel obstruction in a 69-year-old male with...

Internal hernia represents only a small fraction of the patients with intestinal obstruction, however 50% of paraduodenal hernia present as an acute intestinal obstruction. The case is a 28-year old man with presentation of complete bowel obstruction. Diagnosis confirmed through physical examination and abdominal radiography. Laparatomy was performed during which total herniation of small intes...

Petersen hernia is a rare internal hernia that occurs after Roux-en-Y (R-Y) reconstruction. To our knowledge, there are a few reports on internal hernia, especially Petersen hernia after open gastrectomy for gastric cancer. Two rare cases of Petersen hernia are presented in this report. A man in his 70s was referred to our hospital due to a complaint of postprandial sudden abdominal pain. He ha...

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 Internal supravesical hernia is one of the rarest types of inguinal hernia. The hernial orifice is surrounded by the transverse vesical fold, median umbilical fold, and medial umbilical fold. PRESENTATION OF CASE A 75-year-old male presented with lower abdominal pain and nausea. Plain abdominal CT showed that the bladder was suppressed by small bowel near the left internal inguin...

Herniation of small bowel through the peritoneal defect of the Pouch of Douglas is extremely rare type of internal hernia, and this type of internal hernia has been described as an entity of perineal hernia. Here, we describe a case of a 26-year-old female without history of abdominal surgery presenting with incarcerated small bowel hernia through a peritoneal defect of the Pouch of Douglas. Sh...

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 ...

An internal hernia may be either congenital or acquired. The reported incidence of such hernias is 1-2%. In rare cases, internal hernias are the cause of small bowel obstruction, with a reported incidence of 0.2-0.9%. Transmesocolic hernia of the ascending colon is especially rare. We report a case of transmesocolic hernia of the ascending colon with intestinal obstruction diagnosed preoperativ...