1/12. Traumatic abdominal hernia caused by cough, presenting with intestinal obstruction.A case of traumatic abdominal hernia is reported in a patient with a history of chronic cough. After a bout of coughing 3 months prior to her presentation, the patient developed a large herniation on the left lateral side of the abdomen. The patient presented with intestinal obstruction due to the herniation. A CT scanning confirmed the hernia and showed a peritoneal defect with herniation of most of the intestine on the left lateral side of the abdomen. An emergency midline laparotomy was performed, and the defect was corrected.- - - - - - - - - - ranking = 1keywords = herniation (Clic here for more details about this article) |
2/12. Traumatic handlebar hernia: a rare abdominal wall hernia.Traumatic abdominal wall herniation (TAWH) caused by direct trauma from bicycle handlebars are rare. There are only 21 reported cases of handlebar hernias. An 11-year-old boy presented to the emergency room soon after falling from his bicycle and hitting his right lower quadrant on the handlebars. The patient's vital signs and initial laboratory studies were normal. Physical exam showed a soft tissue bulge in the right lower quadrant with superficial ecchymosis and tenderness to palpation. Computed tomography showed intestinal loops protruding through a defect in the abdominal wall into the subcutaneous space. Surgical exploration found a defect throughout his entire abdominal wall including the fascia, muscular layers, and peritoneum, with bowel protruding into the subcutaneous space. The defect was repaired in layers, and the child's postoperative course was unevenful. The authors recommend a high level of clinical suspicion for TAWH in all patients with traumatic abdominal wall injuries. Definitive treatment includes surgical exploration with primary repair of all tissue layers of the abdominal wall.- - - - - - - - - - ranking = 0.33333333333333keywords = herniation (Clic here for more details about this article) |
3/12. Laparoscopic management of an internal double omental hernia: a rare cause of intestinal obstruction.INTRODUCTION: Internal hernia is a very rare cause of intestinal obstruction (0.2-0.9% of cases), associated with 45% mortality. A review of the literature revealed just eight reported cases of double omental hernia since 1950 of which our patient is the first case successfully treated laparoscopically. CASE PRESENTATION: We report on a 29-year-old man who presented with signs and symptoms of intestinal obstruction. The patient underwent emergent exploratory laparoscopy. This revealed herniation of a 20-cm jejunal loop through the gastrocolic ligament and reemergence through a defect in the gastrohepatic ligament. The strangulated loop was reduced with slight traction, and the defect was repaired. The patient was discharged from hospital in just 5 days' time, and after 6 months of follow-up, the general condition of the patient was normal. CONCLUSIONS: laparoscopy is a good technique with minimal complications compared with laparotomy. As many cases are missed due to nonspecific signs and symptoms, an urgent laparoscopy or laparotomy is highly recommended in such a situation.- - - - - - - - - - ranking = 0.33333333333333keywords = herniation (Clic here for more details about this article) |
4/12. Computed tomographic appearance of internal herniation through the sigmoid mesocolon.The case of a patient with surgically proven internal herniation of a loop of ileum through the sigmoid mesocolon is described. This 66-year-old man presented clinically with acute lower abdominal pain and an elevated white blood cell count. A computed tomography (CT) scan showed a thickened bowel loop with "bird-beak" appearance in the pelvis, centered towards the medial side and lying aside the effaced sigmoid colon. We think this CT picture is highly suggestive of internal herniation of the ileum through the sigmoid mesocolon, which is a rare clinical entity.- - - - - - - - - - ranking = 2keywords = herniation (Clic here for more details about this article) |
5/12. Herniation through the foramen of Winslow presenting as obstructive jaundice.Herniation through the foramen of Winslow is a rare variety of paraduodenal hernia. We report a 19-month-old child with obstructive jaundice due to midgut herniation through the foramen of Winslow with associated volvulus. The herniation and volvulus were precipitated by intestinal malrotation. The patient underwent extraamniotic silo repair of exomphalos major in the neonatal period. Investigation for malrotation is recommended after extraamniotic closure of exomphalos.- - - - - - - - - - ranking = 0.66666666666667keywords = herniation (Clic here for more details about this article) |
6/12. Prevention and management of access port site hernia associated with the laparoscopic adjustable gastric band.Access port site hernia is a rare complication associated with the laparoscopic adjustable gastric band (LAGB). Specifically, this unique problem occurs when a fascial defect allows herniation adjacent to the Silastic tubing connects the LAGB to the access port. A 48-year-old woman who had previously undergone placement of LAGB presented with a bulge lateral to the access port; physical examination revealed a hernia near the access port. At laparoscopy, a large portion of omentum was herniated lateral to the Silastic tubing at the port site. This was laparoscopically repaired by first reducing the omentum and then placing a surgical mesh underlay to cover the defect; the patient recovered uneventfully. Access port site hernia is a rare complication with only a single case report published in the literature. We present a case of access port site hernia that was laparoscopically repaired. In addition, we have identified several important technical aspects that may contribute to the development of access port site hernias.- - - - - - - - - - ranking = 0.33333333333333keywords = herniation (Clic here for more details about this article) |
7/12. Internal hernia after pancreas transplantation with enteric drainage: an unusual cause of small bowel obstruction.BACKGROUND: Although complications involving leaking at the enteric anastomosis site, graft thrombosis, and intraabdominal abscess formation have been well documented after pancreas transplantation, the occurrence of small bowel obstruction in this setting has received scant attention. Although uncommon, intestinal obstruction after pancreas transplantation may have atypical etiologies. In this article, we will review three unusual cases of intestinal obstruction in pancreas transplant recipients. The value of computed tomographic (CT) enteroclysis in equivocal situations in the diagnosis of the obstruction is emphasized. methods: In this study, we reviewed the posttransplant course of all pancreas transplants performed between July 1, 2002 and June 1, 2004. We specifically focused on all patients that required reexploration for suspected small bowel obstruction at any time after transplantation. RESULTS: A total of 65 pancreas transplants were performed between July 1, 2002 and June 1, 2004. Pancreas graft survival was 97%, and patient survival was 98.5%. Five (7.7%) patients presented with mechanical small bowel obstruction, three of which were secondary to internal herniation of small intestine through a defect posterior to the pancreas allograft. All patients recovered well postsurgically. DISCUSSION: Small bowel obstruction is an uncommon complication after pancreas transplantation. CT enteroclysis in the evaluation of small bowel obstruction may assist the patient care decision-making process by providing information on the location and severity of the obstruction in the clinical situation where conventional abdominal CT and radiography are equivocal. Prompt detection of small bowel obstruction with early surgical intervention can minimize complications and preserve allograft function.- - - - - - - - - - ranking = 0.33333333333333keywords = herniation (Clic here for more details about this article) |
8/12. Late sigmoid colon internal herniation into the jejuno-jejunostomy mesenteric defect after laparoscopic Roux-en-Y gastric bypass.A 49-year-old female with morbid obesity (BMI 42) underwent laparoscopic Roux-en-Y gastric bypass (LRYGBP). 10 months after the operation, she presented to the hospital with intermittent mid-abdominal pain. An internal hernia of the sigmoid colon through a mesenteric defect of the jejuno-jejunostomy was found. Although small bowel internal herniation has been widely documented, the finding of large bowel internal herniation has not been previously reported. Maintaining a high index of suspicion and a low threshold for urgent intervention are required when evaluating patients with vague abdominal complaints after LRYGBP.- - - - - - - - - - ranking = 2keywords = herniation (Clic here for more details about this article) |
9/12. Traumatic abdominal hernia and lateral compression type 1 pelvic fracture: a case report.Pelvic fractures often are associated with concomitant injuries. In general, the more severe the pelvic fracture, the more likely other, potentially life-threatening injuries exist. We present a case of a typical type 1 lateral compression pelvic fracture with the less common associated injury of abdominal wall muscle disruption and large-bowel herniation.- - - - - - - - - - ranking = 0.33333333333333keywords = herniation (Clic here for more details about this article) |
10/12. Paraduodenal hernia evoking intermittent abdominal pain.PURPOSE: Description of a very rare case of internal abdominal hernia, namely herniation of the proximal jejunum in the Landzert fossa, through a hole in the mesocolon transversum. MATERIAL AND methods: Based on preoperative history, clinical state and radiological findings, the diagnosis of internal hernia was strongly suspected. RESULTS: Suspected diagnosis was confirmed during laparotomy. After reduction of the jejunum and closure of the hernia orifice, the patient recovered promptly. CONCLUSION: The diagnosis of internal herniation should always be considered in every patient who presents with an acute abdomen, signs of (sub)obstruction and non-typical history. The most important diagnostic tool is computer tomography, that is accurate in 77%.- - - - - - - - - - ranking = 0.66666666666667keywords = herniation (Clic here for more details about this article) |
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