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05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Mesenteric appendicitis strangulating small bowel: an exceptional internal herniation
1Department of General Surgery, Cadi Ayyad University, Marrakesh, Morocco. y.narjis@yahoo.fr
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|September 23, 2010
Summary
A rare internal abdominal hernia caused by intra-mesenteric appendicitis led to small bowel strangulation in a young man. Surgical exploration revealed the hernia, leading to successful appendicectomy and adhesiolysis for full recovery.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Internal hernias, though rare, are a significant cause of intestinal obstruction.
- Transomental hernias are exceptionally uncommon types of internal abdominal hernias.
Observation:
- A young male presented with abdominal pain, nausea, and vomiting, indicative of intestinal obstruction.
- Abdominal X-rays revealed dilated small bowel loops with air-fluid levels.
- Ultrasound suggested appendicitis, but the internal hernia was only diagnosed during surgery.
Findings:
- The case involved a rare transomental internal hernia.
- The small bowel was found to be strangulated by an intra-mesenteric appendicitis.
- Surgical intervention included appendicectomy and adhesiolysis.
Implications:
- This case highlights the importance of considering rare causes of intestinal obstruction.
- Intra-mesenteric appendicitis can present as a cause of internal hernia and strangulation.
- Prompt surgical diagnosis and management are crucial for favorable outcomes in such rare cases.
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