[Computer tomographic diagnosis of an internal hernia]

Area of Science:

• Abdominal surgery
• Surgical complications
• Gastrointestinal surgery

Background:

• Laparoscopic left nephrectomy is a common surgical procedure.
• Internal hernias are rare but serious post-operative complications.
• Transmesenteric hernias can occur after abdominal surgery.

Observation:

• A case of transmesenteric hernia is presented.
• The hernia developed four weeks after transperitoneal laparoscopic left nephrectomy.
• The patient presented with symptoms suggestive of internal hernia.

Findings:

• Computer tomography (CT) is the preferred diagnostic imaging modality for internal hernias.
• CT signs of internal hernia have low sensitivity.
• Early surgical exploration (laparoscopy or laparotomy) is recommended when internal hernia is suspected.

Implications:

• This case highlights a rare but significant complication of laparoscopic nephrectomy.
• It underscores the importance of considering internal hernia in patients with post-operative abdominal pain.
• Prompt diagnosis and surgical management are essential to prevent morbidity and mortality associated with internal hernias.