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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

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Related Experiment Video

Updated: Jun 16, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

16.6K

Internal Transmesenteric Hernia Causing Small Bowel Obstruction: A Case Report.

Pragya Sinha1, Virendra S Chauhan2, Surabhi Gupta1

  • 1Radiodiagnosis, Indraprastha Apollo Hospitals, New Delhi, IND.

Cureus
|June 24, 2025
PubMed
Summary
This summary is machine-generated.

Internal hernias can cause bowel obstruction and ischemia, requiring prompt surgery. This case highlights diagnosing internal transmesenteric herniation using computed tomography (CT) scans for timely intervention.

Keywords:
abdominal emergencydiagnosis of mesenteric internal herniainternal abdominal herniamesenteric herniamesenteric internal hernia

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A Mouse Model of Intestinal Partial Obstruction
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Multimodality Diagnosis of Mesenteric Ischemia
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Related Experiment Videos

Last Updated: Jun 16, 2026

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08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

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A Mouse Model of Intestinal Partial Obstruction
07:33

A Mouse Model of Intestinal Partial Obstruction

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Multimodality Diagnosis of Mesenteric Ischemia

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Radiology

Background:

  • Internal hernias are a rare cause of small bowel obstruction (SBO).
  • Nonspecific symptoms can delay diagnosis, increasing risks of bowel ischemia and strangulation.
  • Current guidelines often recommend conservative management for SBO unless signs of compromise are present.

Observation:

  • An 81-year-old male presented with vague, persistent right flank abdominal pain.
  • Initial imaging (X-ray, ultrasound) was inconclusive for obstruction.
  • A non-contrast computed tomography (NCCT) scan revealed small bowel mesenteric rotation/volvulus, suggesting internal transmesenteric herniation.

Findings:

  • Surgical exploration confirmed internal transmesenteric herniation of ileal loops.
  • A mesenteric band was identified as the cause of the obstruction.
  • The band was surgically divided, relieving the obstruction and preventing further ischemia.

Implications:

  • Early diagnosis of internal hernias via CT is crucial for preventing bowel ischemia.
  • Computed tomography (CT) is valuable in identifying internal hernias causing SBO.
  • Prompt surgical intervention for internal hernias can lead to favorable patient outcomes.