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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Hiatal Hernia01:25

Hiatal Hernia

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Related Experiment Video

Updated: Jul 13, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
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Published on: September 20, 2018

Acute Internal Pelvic Hernia: A Complex Diagnostic Challenge.

Ahmad Kaleem1, Deema Othman2, Carlos Yanez3

  • 1Department of General and Trauma Surgery, Mediclinic Parkview Hospital, Dubai, United Arab Emirates. (Dr. Kaleem).

CRSLS : MIS Case Reports From SLS
|March 28, 2025
PubMed
Summary

Internal abdominopelvic hernias are a rare cause of small bowel obstruction. Prompt diagnosis and surgical repair are vital to prevent severe complications and mortality.

Keywords:
Acute abdomenBroad ligamentInternal herniaSmall bowel obstruction

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Imaging

Background:

  • Internal abdominopelvic hernias are uncommon causes of small bowel obstruction.
  • Symptoms can be nonspecific, ranging from recurrent abdominal pain to acute obstruction.
  • Delayed diagnosis can lead to life-threatening complications such as bowel ischemia and perforation.

Observation:

  • A 42-year-old female presented with acute abdominal pain and bilious vomiting.
  • Computed tomography (CT) revealed small bowel obstruction.
  • Diagnostic laparoscopy identified a peritoneal defect with herniated small bowel in the left pelvic retroperitoneum.

Findings:

  • Successful reduction of congested but viable small bowel.
  • Repair of a peritoneal defect lateral to the left broad ligament.
  • Uncomplicated postoperative recovery.

Implications:

  • Internal hernia should be considered in patients with acute abdomen and recurrent small bowel obstruction.
  • High index of suspicion is crucial for timely diagnosis and surgical intervention.
  • Prompt management prevents significant morbidity and mortality.