scholarly journals A CASE OF INTERNAL HERNIA IN PARACOLIC GUTTER OF ASCENDING COLON

Author(s):  
Hitoshi TERAOKA ◽  
Kazuhiro TAKEUCHI ◽  
Takafumi NISHII ◽  
Nobuo MATSUNAGA ◽  
Atsunori NITTA
2014 ◽  
Vol 47 (10) ◽  
pp. 644-650
Author(s):  
Tomohiro Sugiyama ◽  
Hidenori Takahara ◽  
Motoyasu Tabuchi ◽  
Byonggu Ann ◽  
Tadashi Yokoyama

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Cyrille Buisset ◽  
Agathe Postillon ◽  
Sandrine Aziz ◽  
Florian Bilbault ◽  
Guillaume Hoch ◽  
...  

Abstract Herniation through the foramen of Winslow is rare, with a non-specific clinical presentation and his diagnosis may be difficult. A 44-year-old female was admitted with an acute epigastric abdominal pain. A computed tomography showed an internal hernia of the colon in the lesser sac. Laparoscopic reduction of the herniated contents and the fixation of the ascending colon with several non-absorbable sutures were performed. Twenty months after surgery, the patient has not experienced any recurrence. Computed tomography helps practitioners to the preoperative diagnosis of herniation through the foramen of Winslow, to the viability of the herniated contents and presence of occlusion. In case of herniation through the foramen of Winslow favored by a mobile ascending colon with a misapposition of the right Told fascia, the fixation of the colon with a non-absorbable suture was safe and may prevent the risk of recurrent internal hernia and colonic volvulus.


2013 ◽  
Vol 98 (4) ◽  
pp. 409-411 ◽  
Author(s):  
Makoto Takeda ◽  
Yoshinori Ohnuki ◽  
Takashi Uchiyama ◽  
Osamu Kubota ◽  
Kousuke Ohishi

Abstract Internal hernias in which the gate is located in the paracolic gutter are rare. A 75-year-old man was admitted to our hospital with severe epigastric pain without past history of laparotomy and/or trauma. He was diagnosed with strangulation of the ileum by the findings of computed tomography, and the operation was performed. During laparotomy, the small intestine was found to be strangulated and to enter the retroperitoneum from the right paracolic gutter near the hepatic flexure. The patient was diagnosed with an internal hernia, which differed from a pericecal hernia in that the hernia gate was located along the paracolic gutter near the hepatic flexure far from the cecum. Hence, it was considered to be a rare type of internal hernia. We report the clinical presentation and imaging findings of this rare internal hernia.


2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Fatima Sharif ◽  
Paul Samuel Sander ◽  
Ali Sharif ◽  
Grace Montenegro ◽  
Robert Garrett

Internal hernias involve herniation of viscera into an abdominal compartment through a defect in the mesentery or peritoneum. Herniation may occur through normal anatomic structures or through pathologic defects secondary to congenital abnormality, inflammation, trauma, or surgery. Patients with an internal hernia most commonly present with acute bowel obstruction. While internal hernia is an uncommon cause of bowel obstruction, making up approximately 0.2-0.9% of cases (Choi, 2017), the incidence is increasing due to greater use of techniques such as Roux-en-Y for liver transplant and gastric bypass. There are multiple types of internal hernia, including paraduodenal, Foramen of Winslow, sigmoid mesocolon, pericecal, transmesenteric, transomental, supravesical, and pelvic. We present a case in which a transverse colon epiploic appendage adhesion to the ascending colon mesentery resulted in a closed loop obstruction mimicking a pericecal internal hernia. Radiologists should be aware of the imaging findings of closed loop obstruction related to internal hernia and maintain a high index of suspicion in patients with history of prior abdominal surgery presenting with bowel obstruction. It is useful for radiologists to understand that adhesions may result in internal hernias, which mimic the classically described categories.


2018 ◽  
Vol 7 (1) ◽  
pp. 9
Author(s):  
Jiledar Rawat ◽  
Sudhir Singh ◽  
Gurmeet Singh

Ileocolic atresia is the rarest form of all gastrointestinal atresia. Most accepted theory for Ileocolic atresia is a sequel of in-utero vascular insult. The incidence of internal hernia through a defect in the falciform ligament is extremely rare. In this case, a 2-day-old newborn baby presented with intestinal obstruction. On exploratory laparotomy ileocolic atresia was found along with the atretic terminal ileum and cecum, ascending colon and part of right transverse colon seen herniating through the defect in falciform ligament. To best of our knowledge and literature search this is the first case of Ileocolic atresia caused by intrauterine internal herniation of ileocolic segment through the falciform ligament defect.


2003 ◽  
Vol 36 (11) ◽  
pp. 1621-1625 ◽  
Author(s):  
Hiroyuki Kawasaki ◽  
Kazuaki Sasaki ◽  
Hajime Takasaka ◽  
Keisuke Ohno ◽  
Tsuyoshi Yabana ◽  
...  

2008 ◽  
Vol 69 (6) ◽  
pp. 1524-1527 ◽  
Author(s):  
Masaya OKAZAKI ◽  
Takeshi MARUMORI ◽  
Jyunya FUKUZAWA ◽  
Fumito IMAMURA ◽  
Masahiro KAMIGA ◽  
...  

2019 ◽  
Author(s):  
S Michopoulos ◽  
G Axiaris ◽  
P Baxevanis ◽  
M Stoupaki ◽  
V Gagari ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document