Report of a Case and Review of Literature of Internal Hernia through Peritoneal Defect in Pouch of Douglas: A Rare Occurrence

Intestinal obstruction attributable to internal hernia as a cause is a rare phenomenon with a reported incidence of 0.6%-5.8%. Internal hernias ensuing as a result of defect in the pouch of Douglas is extremely rare with only six such cases reported so far in the literature. We present a case of 74-...

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Bibliographic Details
Published in:International journal of applied and basic medical research 2017-07, Vol.7 (3), p.196-198
Main Authors: Muthukumar, Vamseedharan, Venugopal, Sarveswaran, Subramaniam, Surees Kumar
Format: Article
Language:English
Subjects:
Abdomen
Case Report
Defects
Hernia
Hernias
Intestinal obstruction
Risk factors
Surgery
Tomography
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Summary:Intestinal obstruction attributable to internal hernia as a cause is a rare phenomenon with a reported incidence of 0.6%-5.8%. Internal hernias ensuing as a result of defect in the pouch of Douglas is extremely rare with only six such cases reported so far in the literature. We present a case of 74-year-old posthysterectomy status female who presented with features of intestinal obstruction. Intraoperatively, the site of obstruction was found to be a rent in the peritoneum of the pouch of Douglas through which a loop of ileum was found herniating. The viability of the bowel was confirmed, and the defect was closed. The postoperative course was uneventful. This report presents an extremely rare type of internal hernia caused by defect in the pouch of Douglas and review of the literature so far available.
ISSN:2229-516X
2248-9606
DOI:10.4103/ijabmr.ijabmr_297_16