1/7. An unusual case of herniation of small bowel through an iatrogenic defect of the falciform ligament.Internal herniation through a congenital defect in the falciform ligament is extremely rare. We report an unusual observation of small bowel obstruction through an iatrogenic defect of the falciform ligament. Prompt diagnosis was made by helical CT, permitting a rapid surgical procedure to preserve the viability of the obstructed segment.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
2/7. Epigastric hernia and its etiology.BACKGROUND: Controversies still prevail as to how exactly epigastric hernia occurs. Both the vascular lacunae hypothesis and the tendinous fibre decussation hypothesis have proved to be widely accepted as possible explanations for the etiology. PATIENT: We present a patient who suffered from early-onset epigastric hernia. CONCLUSIONS: We believe the identification of the ligamentum teres and its accompanying vessel at its fascial defect supports the vascular lacunae hypothesis. However, to further our understanding, biopsy of the linea alba in patients with epigastric hernias is indicated.- - - - - - - - - - ranking = 0.16666666666667keywords = ligament (Clic here for more details about this article) |
3/7. Internal hernia presenting as obstructive jaundice and acute pancreatitis.We report the first case of obstructive jaundice and acute pancreatitis caused by herniation of the small bowel through the foramen of Winslow in a 45-year-old man. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) revealed dilated small-bowel loops positioned in the gastrohepatic space, dilatation of the gallbladder and both intrahepatic bile ducts, and mild swelling of the pancreas. A small-bowel series revealed a cluster of small-bowel loops in the mid-upper abdomen, with displacement of the stomach to the left. At laparotomy, there was an internal herniation of jejunal loop through the defect of gastrocolic ligament into the lesser sac and finally passing through the foramen of Winslow. The common bile duct was compressed externally by the herniated bowel and the pancreas was mildly swollen. To the best of our knowledge, these complications of internal hernia have not been reported previously.- - - - - - - - - - ranking = 0.16666666666667keywords = ligament (Clic here for more details about this article) |
4/7. Double omental hernia--case report on a very rare cause of intestinal obstruction.INTRODUCTION: We report a case of transomental herniation of the ileum through a defect in the gastrocolic ligament with re-emergence through a defect in the gastrohepatic ligament. This type of herniation is extremely rare and a review of the literature is presented. CLINICAL PRESENTATION: A 41-year-old Chinese male presented with signs and symptoms of intestinal obstruction. TREATMENT: An urgent laparotomy was undertaken and he was found to have a rare form of intra-abdominal hernia. The hernia was reduced and the defects were closed. OUTCOME: Postoperative recovery was unremarkable. CONCLUSION: Urgent operation should not be delayed because of the high mortality associated with strangulation.- - - - - - - - - - ranking = 0.33333333333333keywords = ligament (Clic here for more details about this article) |
5/7. Small-bowel obstruction due to congenital anomaly of the falciform ligament.A patient who initially had a small-bowel obstruction was found, at laparotomy, to have an internal hernia through a defect of the falciform ligament. Simple resection of the round ligament was curative. The defect is presumed to have been congenital in origin. No previous report could be found in our review of the literature.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
6/7. Herniation in the intact falciform [correction of forearm] ligament.A case report of an internal hernia with the greater omentum trapped in the intact falciform ligament is presented. The literature on the subject is reviewed.- - - - - - - - - - ranking = 0.83333333333333keywords = ligament (Clic here for more details about this article) |
7/7. Lesser sac hernia through the gastrocolic ligament: CT diagnosis.We present a case of a lesser sac hernia of the ileum through a defect in the gastrocolic ligament with reemergence through a defect in the gastrohepatic ligament. Computed tomography (CT) revealed the herniated bowel surrounded by the liver, the stomach and the pancreas, and demonstrated the defect in the gastrocolic ligament between the stomach and the transverse colon.- - - - - - - - - - ranking = 1.1666666666667keywords = ligament (Clic here for more details about this article) |