Internal abdominal herniation can be a cause for bowel obstruction and still being under diagnosed. Transmesenteric internal herniation is increasing in occurrence as more surgical intervention being performed. Clinical diagnosis of internal herniation can be very challenging. Computed tomography could be the first imaging modality to discover a clinically unsuspected internal herniation especially in patient with previous surgical intervention. Radiologist should be aware of computed tomography features like reversal of the normal anatomical arrangement of the bowels as well as the mesenteric vessel changes, which raise the suspicion of internal hernia in patient presenting with bowel obstructive symptoms.

Introduction: Sampling of non-palpable thyroid nodule under ultrasound guidance has been widely used, however less studies done in comparing the efficacy of technique between fine needle aspiration cytology (FNAC) and fine needle capillary sampling (FNCS) under ultrasound guidance. Objectives: This study aimed to determine the cytologic adequacy rates and sample quality obtained by both techniques under ultrasound guidance. Methods: Ultrasound‐guided thyroid nodule samplings were performed on 88 patients, 44 of them had FNAC and another 44 FNCS technique. The slides obtained were scored using a predetermined scoring system comparing five parameters: background blood; amount of cellular material; appropriate architecture retention, degree of cellular degeneration and cellular trauma. The results were analysed using chi square and binary logistic regression test. Results: Patient who underwent FNCS technique was 0.61times (95%CI) less likely to have large amount of background blood sample; 0.39times less likely to have sample with excellent architecture retention; 2.31times and 1.13times more likely to have sample with minimal cellular degeneration and minimal cellular trauma respectively when compare to FNAC. These were however not statistically significant. FNCS was 0.23times less likely to obtain sample with abundant cellular material compared to FNAC and it was statistically significant. Diagnostic adequacy rate was similar in both techniques and it was statistically significant. Conclusions Ultrasound‐guided FNAC and FNCS yielded comparable diagnostic adequacy rates. Our study did not prove a clear superiority of FNCS over FNAC or vice versa. Both techniques could be use in tandem to achieve better diagnostic accuracy.