Recent trend of internal hernia
occurrence after gastrectomy for gastric cancer.
Small intestinal strangulation due to a rare type of primary internal hernia
It can clearly display the location and severity of bowel obstruction and provide a precise differential diagnosis of the cause, including internal hernia
However, CT imaging may not readily differentiate between volvulus and internal hernia
after gastric bypass: Sensitivity and specificity of seven CT signs with surgical correlation and controls.
DISCUSSION: Internal hernias
were first described by Steinke in 1932.
Paraduodenal hernia continues to be the most common type of internal hernia
(50%) in the abdomen without prior surgery [3, 4] compared with trans-mesenteric hernia in which the incidence ranged from 8 to 10% [5, 6].
She had a history of midabdominal pain one week before admission; an abdominal computed tomography (CT scan) with oral contrast was performed; a distended proximal small bowel with no specific mention of internal hernia
(IH) was noticed and opacification of the colon was obvious.
6 2 Mechanical intestinal obstruction is caused by a number of external and internal processes including intestinal tuberculosis, adhesions, neoplasms, inflammatory bowel disease, internal hernias
volvulus bowel strictures, diverticulitis, fecal impaction7.
4) Where gastric carcinoma was the indication for the initial operation, (3) tumour recurrence was noted to outweigh other usual causes such as adhesions, anastomotic ulcers, stenoses, internal hernias
in surgically created foraminae (including in the mesentery), twisting foci, or intussusceptions.
This is an especially interesting case because alter bariatric surgery, we typically see internal hernias
(Peterson's, transmesenteric at the entero-enterostomy site of lesser sac hernias for retro-colic Roux limb placement) but not a herniation of the gastric pouch and proximal Roux limb into the chest.
In addition, during the first year post surgery, two patients needed follow-up surgery for internal hernias
, one needed surgery for adhesions, and nine patients reported occasional abdominal pain.