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Internal herniation of the abdominal wall
Arthur Bloemen1, Marlies J Keijzers1, Joop L M Konsten1
1Department of Surgery VieCuri Medical Centre Venlo The Netherlands.
Clinical Case Reports
|March 23, 2019
Summary
Symptomatic arcuate line hernias, a rare cause of acute lower abdominal pain, occur due to a sharp posterior rectus sheath ending. These internal hernias can lead to dangerous strangulation or incarceration of abdominal contents.
Area of Science:
- Abdominal Surgery
- Gastroenterology
- Anatomy
Background:
- Arcuate line hernias are rare internal hernias.
- They present with acute lower abdominal complaints.
- Anatomical variations in the posterior rectus sheath contribute to their development.
Purpose of the Study:
- To highlight the diagnostic considerations for symptomatic arcuate line hernias.
- To describe the anatomical basis of this condition.
- To emphasize the potential for complications such as strangulation and incarceration.
Main Methods:
- Review of relevant anatomical literature.
- Analysis of clinical presentations of arcuate line hernias.
- Discussion of diagnostic criteria and management strategies.
Main Results:
- Symptomatic arcuate line hernias are associated with a sharp posterior aponeurotic sheath ending.
- This anatomical variation predisposes to internal herniation.
- Complications include strangulation and incarceration of abdominal contents.
Conclusions:
- Arcuate line hernias should be considered in the differential diagnosis of acute lower abdominal pain.
- Understanding the unique anatomy is crucial for diagnosis.
- Prompt recognition and management are essential to prevent severe complications.
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