Congenital trans mesenteric internal hernia
is a rare condition presenting as recurrent pain abdomen or acute intestinal obstruction.
Computed tomography is most often used to definitively diagnose internal hernia
. A common CT appearance of pericecal internal hernia
is a cluster of fluid-filled, dilated loops of small bowel lateral to the cecum and anterior to the ascending colon, as in this case.
The etiological factors involved were adhesion and bands in 31 patients (31%), TB abdomen in 23 patients (23%), external hernia in 18 patients (18%), colonic tumors in 9 patients (9%), volvulus in 7 patients (7%), paralytic ileus in 4 patients (4%), internal hernias
in 3 patients (3%) and intussusceptions in 2 patients (2%) (table 2).
Recent trend of internal hernia
occurrence after gastrectomy for gastric cancer.
Kukora, "Congenital and acquired internal hernias
: unusual causes of small bowel obstruction," The American Journal of Surgery, vol.
45 F  (9) Present case 45 F Case Complaint Exocrine Cause of number drainage perforation (1) Abdominal pain Enteric Rejection (2) Abdominal pain Bladder Simple ulcer (3) Abdominal pain Bladder Cmv duodenitis (4) Hematuria Bladder Rejection (5) Hematuria Bladder CMV duodenitis (6) Abdominal pain Enteric Internal hernia
(7) Melena Enteric Rejection (8) Abdominal pain Enteric Avascular necrosis (9) Abdominal pain Enteric Pressure necrosis Case Interval from Operation number surgery to perforation (1) 27 months Graft duodenectomy (2) 5 months Direct closure (3) 18 months Graft duodenectomy (4) 1.5 months Direct closure (5) 2 months Graft pancreatectomy (6) 13 months Graft pancreatectomy (7) 0.5 months Graft pancreatectomy (8) 5 months Direct closure (9) 0.5 months Direct closure
after gastric bypass: a new and simplified technique for laparoscopic primary closure of the mesenteric defects.
account for 0.5-4.1% of all bowel obstruction.
However, CT imaging may not readily differentiate between volvulus and internal hernia
Small bowel ischemia can have a number of causes, including internal hernia
The most-common complication is an internal hernia
that causes intestinal problems.
can be a devastating postoperative complication that leads to intestinal obstruction," he said.