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Uncommon presentation of complicated internal hernia through the appendices epiploicae ring of adhesion: a clinical
Mohamed Said Ghali1,2, Mona S Shehata3, Mohammed Al Obahi1
1Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar.
Background:
Internal hernias are infrequent, yet serious, medical conditions with potentially severe consequences. An internal hernia resulting from an Appendices epiploicae (AE) ring is an especially rare cause, with a mere nine documented instances worldwide.
Case Report:
This report presents the case of a 58-year-old male who suffered from an internal hernia originating from an AE ring. The condition led to a gangrenous small bowel, which was treated by laparotomy and resection of the affected segment, followed by primary anastomosis. The post-operative recovery was favorable.
Conclusion:
Internal hernias, although rare, warrant immediate attention and early intervention to preclude detrimental outcomes, as illustrated in this particular case.
Insights
Internal hernias are rare but serious conditions. This case highlights an internal hernia from an Appendices epiploicae (AE) ring causing small bowel gangrene, successfully treated surgically.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Internal hernias are uncommon but can lead to severe complications.
- Herniation through an Appendices epiploicae (AE) ring is an exceptionally rare etiology.
Purpose of the Study:
- To report a rare case of internal hernia due to an AE ring.
- To emphasize the importance of prompt diagnosis and management of internal hernias.
Main Methods:
- Case presentation of a 58-year-old male with internal hernia.
- Surgical intervention involving laparotomy, bowel resection, and anastomosis.
Main Results:
- Successful surgical treatment of internal hernia with gangrenous small bowel.
- Favorable post-operative recovery.
Conclusions:
- Internal hernias, despite rarity, require urgent attention.
- Early intervention is crucial to prevent adverse outcomes in internal hernia cases.
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