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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Strangulated Falciform Hernia.

Nagarajan Raj Kumar1, Muhamed Tajudeen1

  • 1Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IND.

Cureus
|July 29, 2021
PubMed
Summary
This summary is machine-generated.

Internal hernias are uncommon, but prompt diagnosis is crucial to prevent severe complications. This case highlights a falciform hernia causing bowel obstruction, successfully treated with surgery and stoma reversal.

Keywords:
falciform ligament herniamurphy's signpyoperitoneumstrangulated herniasurgical acute abdomen

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Radiology

Background:

  • Internal hernias are rare causes of abdominal pain and obstruction.
  • Delayed diagnosis of internal hernias can lead to significant morbidity and mortality.

Observation:

  • A 75-year-old male presented with acute right upper quadrant abdominal pain and vomiting.
  • Physical examination revealed guarding and a positive Murphy's sign, mimicking cholecystitis.
  • Initial ultrasonography showed dilated bowel loops but a normal gallbladder.

Findings:

  • Contrast-enhanced CT (CECT) accurately diagnosed a falciform ligament hernia.
  • The hernia caused small bowel obstruction with evidence of gangrene.
  • Surgical intervention included segmental ileal resection and creation of a double-barrel stoma.

Implications:

  • This case underscores the importance of considering internal hernias in the differential diagnosis of acute abdominal pain, even with atypical presentations.
  • Timely radiological diagnosis, particularly with CECT, is vital for appropriate surgical management.
  • Successful surgical management, including stoma reversal, can lead to favorable patient outcomes.