Preoperative CT Diagnosed Transomental Internal Hernia with Intestinal Obstruction: A case report.
- Author:
Jai Hyun RHYOU
1
;
Ku Young CHUNG
;
Young Man CHOI
;
Jung Soo SEO
Author Information
1. Department of Surgery, College of Medicine, Ewha Womans University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Internal hernia;
Intestinal obstruction;
Abdominal CT
- MeSH:
Abdominal Pain;
Diagnosis;
Female;
Hernia*;
Humans;
Intestinal Obstruction*;
Ligaments;
Meals;
Muscle Cramp;
Nausea;
Omentum;
Tomography, X-Ray Computed;
Vomiting
- From:Journal of the Korean Surgical Society
2000;59(5):703-708
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of an incarcerated internal hernia which was diagnosed preoperatively by using an abdominal CT scan. An-84-year-old female patient suddenly developed cramping upper abdominal pain after a meal, followed by nausea and vomiting associated with slight abdominal distension. This patient's initial abdominal plain X-ray was interpreted as indicating abdominal free gas. A dilated small bowel loop was revealed based on a late abdominal CT scan, and an internal hernia was suspected. On operation, herniation through defects in the gastrocolic omentum and gastrohepatic ligament was found and was successfully reduced. A jejunal loop internal herniation of this nature is extremely rare, and closed-loop obstructions result to incarceration or strangulation. When abnormal gas is detected at the right upper or the epigastric area in a simple abdominal X-ray. An unusual internal hernia must be a concern, and an abdominal CT scan can be useful for preoperative diagnosis.
