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

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.
Keywords:
Acute abdomenBroad ligamentInternal herniaSmall bowel obstruction

Related Experiment Videos

  • 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.