Multiple congenital internal hernias as a cause of acute abdominal symptoms in late adult life

10 Οκτώβριος, 2012

ΚΗΛΕΣ, Κήλη-εσωτερική

Συντάχθηκε από:

Αναστάσιος Λιάτας, MD, F.I.C.A. – Διευθυντής Χειρουργός

A C Liatas, MD, F.I.C.A. – Consultant Surgeon

Athens  General  Hospital  » EVAGELISMOS «

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Abstract

Internal hernias rarely cause intestinal obstruction, the reported incidence being between 1 and 1.7 %. The most common sites of herniation are the epiploic foramen and the transverse mesocolon, and hernias through defects in the greater or lesser omentum are rare. An even rarer occurrence is the presence of two or three such hernias in the same patient.

Discussion

Internal hernias can occur in various places and they have distinctive clinical and radiological features. Among the most common types are: omental, Treizt’s, mesenteric, caecal, retrocaecal, intersigmoid, sliding, and uterine hernias. Internal hernias account for less than 2 % of the cases of obstruction caused by herniation but the incidence of asymptomatic internal hernias found at necropsy was reported to be between 0.2 % and 0.9 %. Of these only about 1-4% are omental hernias. Our case shows that the aetiology of such hernias, which has previously not been clarified, must be congenital.

Δημοσίευση Άρθρου

Το πλήρες άρθρο έχει δημοσιευθεί στο: [ Eur J Surg 1992; 158:561-562 ]

Αρχείο Άρθρου

Για το πλήρες άρθρο «Multiple congenital internal hernias…» πατήστε: Εδώ (.pdf αρχείο).

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