Related Experiment Video
Updated: Sep 16, 2025
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
740
Internal Hernia Through a Mesenteric Defect Presenting As Midgut Volvulus: A Rare and Intriguing Coexistence
Anshita Shrivastava1, Summi Karn1, Amulya Reddy1
1Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus
|July 7, 2025
Summary
Internal hernias are a rare cause of bowel obstruction, especially in patients with prior abdominal surgery. Prompt CT diagnosis and surgical intervention are vital to prevent complications like bowel ischemia.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Internal hernias, particularly through mesenteric defects, are uncommon causes of intestinal obstruction.
- Early diagnosis and treatment are critical to avert bowel ischemia and related complications.
Observation:
- A 64-year-old female presented with acute intestinal obstruction due to an internal hernia complicated by midgut volvulus.
- The patient had a history of exploratory laparotomy 25 years prior.
Findings:
- Internal hernias present diagnostic challenges, especially in patients with a history of abdominal surgery.
- Computed tomography (CT) scans are instrumental in achieving prompt diagnosis.
- Concurrent midgut volvulus is an unusual feature of this internal hernia case.
Implications:
- Clinicians should consider internal hernias in patients with prior abdominal surgery who develop bowel obstruction.
- Timely surgical management is essential for favorable outcomes.
- This case highlights the importance of advanced imaging in diagnosing complex abdominal emergencies.
Related Concept Videos
01:22Esophageal Perforation-I: Introduction
179
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
179
01:28Esophageal Perforation-II: Clinical Manifestations and Management
151
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
151
01:22Appendicitis-I: Introduction
641
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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...
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...
641
01:24Esophageal Varices-I: Introduction
354
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
354
01:21Inflammatory Bowel Disease V: Surgical Management
221
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:
Here are some common surgical interventions for IBD:
221
01:28Esophageal Varices-II: Clinical Features and Management
147
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
147