scholarly journals A CASE REPORT OF INTERNAL HERNIA IN PARACOLIC GUTTER OF THE DESCENDING COLON

2008 ◽  
Vol 69 (6) ◽  
pp. 1524-1527 ◽  
Author(s):  
Masaya OKAZAKI ◽  
Takeshi MARUMORI ◽  
Jyunya FUKUZAWA ◽  
Fumito IMAMURA ◽  
Masahiro KAMIGA ◽  
...  
2003 ◽  
Vol 36 (11) ◽  
pp. 1621-1625 ◽  
Author(s):  
Hiroyuki Kawasaki ◽  
Kazuaki Sasaki ◽  
Hajime Takasaka ◽  
Keisuke Ohno ◽  
Tsuyoshi Yabana ◽  
...  

1995 ◽  
Vol 56 (6) ◽  
pp. 1186-1189
Author(s):  
Shigeru TAKAMORI ◽  
Hideki GOTO ◽  
Yasushi TAKEDA ◽  
Toru MIYAHARA ◽  
Tomoe BEPPU ◽  
...  

2012 ◽  
Vol 140 (9-10) ◽  
pp. 637-640 ◽  
Author(s):  
Zoran Trebjesanin ◽  
Srdjan Babic ◽  
Goran Vucurevic ◽  
Petar Popov ◽  
Nenad Ilijevski ◽  
...  

Introduction. Positional anomalies of the right half of the colon are quite common whereas positional anomalies of the left half of the colon are much less common because of embryological disorders during the period of the embryological development of that part of the bowel. The process of the fixation of the descending colon to the posterior abdominal wall can be absent. In that case, when the descending colon has a free descending mesocolon, it shows some degree of mobility. Case Outline. We are presenting an example of one of the anomalies, which is characterized by the persistent descending mesocolon, which extends from the splenic flexure or just below it to the sigmoid colon. The persistent descending mesocolon in our case contains or surrounds almost complete small bowel in a recess which is located laterally to the left of the midline. The content of this hernial sac simulates the symptoms of an internal hernia followed by clinical symptoms and roendgenographical signs. Conclusion. We are of the opinion that this anomaly is more common than some surveys of literature would suggest.


Author(s):  
W. Ben Amar ◽  
J. Kammoun ◽  
M. Zribi ◽  
H. Ennouri ◽  
Z. Hammami ◽  
...  

Author(s):  
Qiang Hu ◽  
Xi-Yin Yang ◽  
Yuan-Shui Sun ◽  
Feng-Yong Wang

2021 ◽  
pp. 000313482110545
Author(s):  
Alissa Doll ◽  
Leander Grimm

Intestinal obstruction is an entity commonly encountered by general and colorectal surgeons. Anatomic abnormalities account for only a small fraction of cases of complete or partial obstruction. This case report focuses on a 51-year-old female presenting with acute on chronic large bowel obstruction. Workup revealed an exceedingly rare anatomic abnormality: a medialized descending colon, traveling adjacent to the abdominal aorta, with a transition point and dense bands just distal to the splenic flexure. She underwent exploratory laparotomy with division of the constrictive bands and subsequently experienced near-complete resolution of her chronic obstructive symptoms.


Author(s):  
María Carmen Azorín ◽  
María Jesús Segura ◽  
Matías Gómez ◽  
Isabel Fernández ◽  
Rodolfo Rodríguez ◽  
...  

2002 ◽  
Vol 120 (3) ◽  
pp. 84-86 ◽  
Author(s):  
Gustavo Gibin Duarte ◽  
Belchor Fontes ◽  
Renato Sérgio Poggetti ◽  
Marcos Roberto Loreto ◽  
Paulo Motta ◽  
...  

CONTEXT: Internal hernias account for only 0.2 to 0.9% of the cases of intestinal obstruction. They do not have specific clinical manifestations, and are usually diagnosed during laparotomy for acute intestinal obstruction. Internal hernias through the lesser omentum are extremely rare. CASE REPORT: We report here the case of a 36-year-old patient who underwent exploratory laparotomy for acute intestinal obstruction. An internal hernia through the lesser omentum was found, with a strangulated ileal segment passing through the perforation into an abscess within the lesser sac. The surgical procedures included ileal resection, primary anastomosis, abscess removal, and placement of a drain in the lesser sac. The patient was reoperated 6 days later for abdominal sepsis; a lesser sac abscess was removed and the abdominal incision was left open. The patient stayed in the Intensive Care Unit for 15 days, and eventually left the hospital on the 28th post-admission day, with complete recovery thereafter. CONCLUSION: The early diagnosis of acute intestinal obstruction and immediate indication for laparotomy is the main task of the surgeon when faced with a case of acute abdomen with a hypothesis of internal hernia, so as to minimize severe postoperative complications, as illustrated by the present case.


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