Related Experiment Video
Updated: Feb 19, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Adhesive internal hernia: multidetector CT findings and clinical relevance
1Department of Radiology, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Hospital of Zhejiang University, 289 Kuocang Road, Lishui, Zhejiang 32300, China.
Multidetector computed tomography (MDCT) identifies key features of adhesive internal hernias (IHs), aiding in diagnosis and early detection of intestinal strangulation. Specific signs like clustered bowel loops and mesenteric vessel changes are crucial for identifying this condition.
Area of Science:
- Radiology
- Gastroenterology
- Surgical Pathology
Background:
- Adhesive internal hernias (IHs) present diagnostic challenges.
- Early detection of complications like intestinal strangulation is critical for patient outcomes.
Purpose of the Study:
- To review the clinical and multidetector computed tomography (MDCT) features of adhesive internal hernias (IHs).
- To establish specific MDCT criteria for diagnosing adhesive IHs and detecting intestinal strangulation.
Main Methods:
- Retrospective analysis of medical records and preoperative abdominal MDCT findings.
- Inclusion of 34 patients with surgically confirmed abdominal adhesive IHs.
Main Results:
- Consistent MDCT findings in adhesive IHs include dislocated/clustered intestinal segments (100%) and stretched mesenteric vessels (100%).
- Other key features: hernial orifice (88.2%), peritoneal adhesive bands (76.5%), and fat notch sign (85.3%).
- MDCT indicators of strangulation: bowel wall thickening (p=0.009), intramural hemorrhage (p=0.007), and abnormal enhancement (p=0.023). Bowel obstruction in 50%, mesenteric whirl in 23.5%.
Conclusions:
- This study details specific MDCT criteria for adhesive IHs.
- Understanding these MDCT findings is vital for accurate diagnosis and timely clinical management of adhesive IHs and their complications.
Related Concept Videos
Adherens Junctions
Adherens Junctions are Dynamic
Appendicitis-I: Introduction
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...
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.

