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INTRODUCTIONInternal hernias are a rare cause of bowel obstruction in the neonate and present with bilious vomiting. Newborns may be at risk of loss of significant length of bowel if this rare condition is not considered in the differential diagnosis of bilious emesis.PRESENTATION OF CASEWe report a case of a twin with an internal hernia through a defect in the ileal mesentery who presented with neonatal bowel obstruction. The patient had a microcolon on the contrast enema suggesting that the likely etiology was an intra-uterine event most likely a vascular accident that prevented satisfactory meconium passage into the colon.discussionAn internal hernia is rarely considered in the differential diagnosis of distal bowel obstruction in a neonate with a microcolon. Congenital trans-mesenteric hernias constitute only 5–10% of internal hernias. True diagnosis of trans-mesenteric hernias is difficult due to lack of specific radiology or laboratory findings to confirm the suspicion.conclusionWhen clinical and radiological findings are not classical, rare possibilities such as an internal hernia must be considered in the differential diagnosis, to avoid catastrophic bowel loss. 相似文献
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Kaundinya Kiran Bharatam C. Kaliyappa Raja Raghavendra Reddy 《International journal of surgery case reports》2014,5(12):1154-1157
INTRODUCTION
Transmesenteric mesocolic hernias are a rare cause of acute abdomen in adults with few reported cases in published literature.PRESENTATION OF CASE
We report a rare case of a 30-year-old male with right-sided transmesenteric hernia of ileum due to a congenital mesocolic defect resulting in acute abdomen, presenting as acute abdomen. The hernia was reduced, small bowel inspected for gangrene and mesenteric hernia repaired, following which the patient made a good recovery and was discharged 5 days later.DISCUSSION
The insidious onset of transmesenteric herniae and lack of specific radiological or laboratory investigations reaffirms the importance of surgeons maintaining a high index of suspicion for this surgical emergency.CONCLUSION
Transmesentric hernia though rare can present as a case of acute abdomen in an emergency. The diagnosis is purely by a CT scan and close monitoring of the patient''s general condition in cases of non-specific abdominal pain is essential to identify the rare deteriorating patient for early surgical intervention and optimal outcome. 相似文献4.
Morgagni's hernia is a rare congenital diaphragmatic herniation and is usually diagnosed in childhood. It is quite rare in
adults, and intestinal obstruction as a complication due to intrathoracic intestinal herniation rarely occurs. We present
the plain radiography and computed tomography findings of an adult patient with acute abdomen symptoms due to Morgagni's hernia. 相似文献
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《Asian journal of surgery / Asian Surgical Association》2023,46(2):863-867
BackgroundLymphangioma is unusual malformation of the lymphatic system and rarely occurred in adults below diaphragm. Lymphangioma in small intestine sometimes caused unspecific symptoms and even bleeding, however, this area was most difficult for endoscopic examination and worth investigation.MethodsFrom 1999 to 2019, we retrospectively collected eighteen adult patients with the pathological diagnosis of lymphangioma from duodenum to terminal ileum. The clinical symptoms, origin site, predisposing factor, pre-operative image surveillance, surgical intervention, histopathological findings, follow-up period, and outcome were reviewed and analyzed.ResultsThe mean age of diagnosis was 50.11 years old with female predominance. The most common symptoms were abdominal pain (77.78%), palpable mass (27.78%) and intestinal bleeding (16.67%). With the different gross and microscopic findings, the adult intestinal lymphangioma could be classified as “simple”, “polyposis”, and “cystic cavernous”.ConclusionIntestinal lymphangioma in adults is a rare cause of abdominal discomfort but should be listed in differential diagnosis during daily practice. The morphology and classification may be different from pediatric group, and more large-scale studies are need for thorough investigation. 相似文献
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Intestinal obstruction from congenital internal hernias is a rare and often unsuspected problem. We report the case of a 66-year-old
male with a rare type of congenital internal hernia causing bowel obstruction. He underwent successful laparoscopy-assisted
surgical repair without bowel resection. Symptomatic congenital internal hernias usually present with intermittent or acute
small-bowel obstruction without any history of previous abdominal surgery. Laparoscopy or hand-assisted laparoscopy can be
useful tools for locating the region of pathology and enable minimally invasive surgical treatment. 相似文献
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Obstructed/strangulated diaphragmatic hernia: A rare cause of acute intestinal obstruction in adults
Dr. Leo Francis Tauro MS Bangalore Srinivasa Satish Rao MS Balkur Rathnakar Hegde FRCS Anand Ignatius Peter MS Rohan Kumar Gulvadi MBBS 《Indian Journal of Thoracic and Cardiovascular Surgery》2006,22(4):233-235
Obstructed diaphragmatic hernia as a cause of intestinal obstruction in adults is very rare. Late presentation of congenital
diaphragmatic hernia is reported to be 5 to 25 percent and its presentation as intestinal obstruction is reported, rarely.
We report two adult patients with obstructed/strangulated congenital diaphragmatic hernias and one patient with obstructed
traumatic diaphragmatic hernia as a rare cause of intestinal obstruction. 相似文献
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Right-sided Bochdalek's hernia in an adult 总被引:1,自引:0,他引:1
Bochdalek hernia is a type of congenital diaphragmatic hernia that typically presents in childhood, but may rarely be detected in adults. The treatment of choice is operative repair due to the risk of visceral herniation and strangulation. 相似文献
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Naomi S. Sakai Vikas Acharya Sami Mansour Mohammed A. Saleemi Sarah Cheslyn-Curtis 《International journal of surgery case reports》2014,5(7):358-360
INTRODUCTION
The authors present an unusual case of small bowel obstruction in a 62-year-old man.PRESENTATION OF CASE
A 62-year-old man with a background of transitional cell carcinoma (TCC) of the bladder presented to the emergency department with abdominal pain, distension, vomiting and had not opened his bowels for three days. 3 weeks previously he had a repeat Transurtheral resection of bladder tumour (TURBT), during which there was an iatrogenic perforation of the bladder. A CT scan of the abdomen and pelvis revealed small bowel obstruction but did not identify a cause. At laparotomy the cause of the obstruction was identified as a section of the small bowel that had partially herniated into the bladder, via the perforation. The defect was repaired and the patient made an uneventful recovery.DISCUSSION
Herniation of the bowel into a defect in the bladder wall is a rare event with only 6 previous cases reported in the literature. It can cause signs and symptoms of bowel obstruction.CONCLUSION
In patients with known bladder perforations who present with symptoms and signs of bowel obstruction, bowel herniation into the bladder should be considered. Early surgical intervention may be necessary if the patient is clinically unwell with appropriate symptoms and signs and imaging does not provide conclusive answer. 相似文献10.
The occurrence of intussusception in adults is rare,accounting for less than 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction.The condition is found in less than 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction.The child to adult ratio is more than 20:1.We report a rare case of ileocolic intussusception in an adult secondary to an ileal lipoma. 相似文献
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Obturator hernia may occur bilaterally in association with another hernia, which is usually of the femoral type. We present
a 77-year-old-woman who had abdominal pain with nausea and vomiting together with swelling of the right groin for 3 days.
Incarcerated right femoral hernia and consequent mechanical small-bowel obstruction was diagnosed, and urgent operation was
undertaken. As the incarcerated femoral hernia reduced spontaneously during the induction of anesthesia, a lower median incision
was performed. During exploration, the real cause of mechanical intestinal obstruction was found to be a small intestinal
loop strangulated in the left obturator hernia. Right femoral and left obturator hernia were repaired with preperitoneal polypropylene
mesh. If there is enough time and general condition of the older patient is suitable, further diagnostic techniques for concomitant
obturator hernias may be useful in patients who present with signs of incarcerated inguinal hernia and intestinal obstruction. 相似文献
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Congenital diaphragmatic hernias in adults are exceedingly rare. They have been reported to cause dyspnoea, gastric reflux and intestinal obstruction. We present the case of a young woman with obstructive jaundice secondary to a Bochdalek hernia of the right hemidiaphragm. We discuss the aetiologies, presentation, investigation and treatment of the disorder, and make recommendations on the management. 相似文献
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Laparoscopic inguinal hernia repairs, both transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP), are associated
with peritoneal defects or tears. Nonclosure of the tears can lead to bowel obstruction. I present a case of an early (48 h)
bowel obstruction related to a peritoneal defect post TAPP inguinal hernia repair. The literature on peritoneal closure and
bowel obstruction related to laparoscopic inguinal hernia repair is reviewed as well as options for repairing defects. 相似文献
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Morton M. Woolley 《Journal of pediatric surgery》1977,12(5):673-674
This is a case report of an infant who had a normal chest x-ray early in life and later developed a left posterolateral diaphragmatic hernia resulting in life-threatening bowel infarction. 相似文献
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Ricky Harminder Bhogal Kambiz Maleki Rajan Patel 《World journal of gastrointestinal surgery》2013,5(9):256-258
An 85-year-old woman presented with sudden onset of generalised abdominal pain and absolute constipation for 4 d.On examination she had a distended abdomen.Plain abdominal radiograph revealed a gas filled viscous within the left upper quadrant.Subsequent computed tomography suggested caecal volvulus herniated through a left diaphragmatic hernia.The patient underwent reduction of the internal hernia,right hemicolectomy and mesh repair of the diaphragmatic hernia.Postoperative recovery was uneventful.Histology revealed a Dukes’A colonic cancer within the caecum.Herniation of caecal volvulus through a diaphragmatic hernia is a very rare condition and may have been precipitated by the colonic tumour. 相似文献
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We report on a case of a 68-year-old man who was transferred to our department to undergo surgical treatment of intestinal obstruction and a palpable right-sided abdominal mass. The abdominal computed tomography scan revealed a small bowel obstruction with an incarcerated spigelian hernia. A mesh repair was performed by suturing the mesh to the internal oblique muscle and to the rectus sheath. The postoperative course was uneventful, and no recurrence has occurred during the 2-year follow-up. An urgent operation should be performed as soon as an accurate diagnosis of incarcerated spigelian hernia has been made. Computed tomography should be helpful in order to establish an accurate diagnosis of the incarcerated hernia. 相似文献
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Laparoscopic management of an internal double omental hernia: A rare cause of intestinal obstruction 总被引:1,自引:0,他引:1
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. 相似文献