Related Experiment Video
Updated: Mar 21, 2026
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
6.0K
Rare Hernias Presenting as Acute Abdomen- A Case Series
Roney Johnson John1, Sansho Elavumkal Ulahannan2, John S Kurien3
1Senior Resident, Department of General Surgery, Government Medical College , Kottayam, Kerala, India .
Summary
This case series highlights rare internal hernia presentations causing acute abdomen. Early diagnosis and surgical intervention are crucial for improved survival rates in these uncommon abdominal emergencies.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Surgery
Background:
- Hernias, abnormal protrusions of organs through tissue defects, can be internal, external, or diaphragmatic.
- Symptomatic hernias may present as intestinal obstruction, incarceration, or strangulation, requiring urgent surgical attention.
- Internal hernias are rare but can mimic other acute abdominal conditions, posing diagnostic challenges.
Purpose of the Study:
- To analyze rare presentations of hernias, focusing on internal hernias.
- To compare the incidence of severe hernia complications with existing world literature.
- To emphasize the importance of considering internal hernias in the differential diagnosis of acute abdomen and to caution surgeons regarding specific surgical techniques.
Main Methods:
- A retrospective case series reviewing clinical details of seven patients with rare hernia presentations.
- Analysis of hernia types, clinical presentation, preoperative diagnosis rates, and management outcomes.
- Comparison of observed outcomes with data from global medical literature.
Main Results:
- Seven rare hernia cases presented with acute abdomen; six were internal hernias (paraduodenal, transmesenteric, pericaecal) and one was a spigelian hernia.
- Only one case was diagnosed preoperatively, with three patients requiring bowel resection and anastomosis due to gangrene.
- The study reported a 100% survival rate for these cases, contrasting with a 50% survival rate in untreated cases from world literature.
Conclusions:
- Internal hernias, though rare, must be considered in the differential diagnosis of intestinal obstruction, especially in non-operated abdomens.
- Prompt surgical intervention is vital for managing symptomatic internal hernias to prevent complications like bowel gangrene and improve survival.
- Surgeons should exercise caution when managing internal hernias, particularly regarding the division of obstructing bands, to avoid iatrogenic injuries.
Related Concept Videos
01:22Appendicitis-I: Introduction
3.4K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
3.4K
01:30Acute Pancreatitis II: Clinical Manifestations and Management
1.0K
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
1.0K
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
502
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
502
01:28Esophageal Perforation-II: Clinical Manifestations and Management
902
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
902
01:23Gastritis III: Clinical Manifestations and Management
1.6K
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
1.6K
01:27Acute Pancreatitis I: Introduction
1.4K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.4K