Mesenteric appendicitis strangulating small bowel: an exceptional internal herniation

Primitive internal hernias are a rare cause of intestinal obstruction. They are often paraduodenal even transmesocolic, but only rarely transomental. We present a rare case of an internal abdominal hernia in a young man. The small bowel was strangulated by an intra mesenteric appendicitis. This hern...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2012-04, Vol.16 (2), p.229-231
Main Authors: Narjis, Y., Rabbani, K., Jalal, H., Ousehal, A., Aboulhassan, T., Louzi, A., Benelkhaiat, R., Finech, B., Dafali, A. E.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Appendicitis - complications
Appendicitis - surgery
Case Report
Hernia, Abdominal - diagnosis
Hernia, Abdominal - etiology
Hernia, Abdominal - surgery
Humans
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Male
Medicine
Medicine & Public Health
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Summary:Primitive internal hernias are a rare cause of intestinal obstruction. They are often paraduodenal even transmesocolic, but only rarely transomental. We present a rare case of an internal abdominal hernia in a young man. The small bowel was strangulated by an intra mesenteric appendicitis. This hernia was revealed by abdominal pain, nausea and vomiting. Plain X-ray of the abdomen showed dilated jejunal and ileal loops with multiple air-fluid levels. The diagnosis of appendicitis was suggested by ultrasound but the internal hernia was found only upon surgical exploration. An appendicectomy and adhesiolysis were performed. The patient recovered fully after 3 days, and had an uneventful postoperative course. The authors discuss the possible cause of this rare intestinal obstruction.
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-010-0730-8