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Abstract:
Acute intestinal obstruction secondary to an idiopathic mesenteric hernia has been reviewed by collecting 139 reports from the literature and studying them from the standpoint of incidence, etiology, pathogenesis, clinical manifestations, diagnosis, treatment and mortality. An acute intestinal obstruction with strangulation in the absence of an external hernia and with no history of previous surgical procedures must suggest the possibility of an internal hernia, especially if the patient has a history of chronic intermittent abdominal distress and a palpable abdominal mass if found on examination.
Insights
Idiopathic internal hernias can cause acute intestinal obstruction. Early diagnosis is crucial, especially with chronic abdominal pain and a palpable mass, to prevent strangulation and improve outcomes.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Internal hernias are a rare cause of intestinal obstruction.
- Idiopathic mesenteric hernias present diagnostic challenges.
Purpose of the Study:
- To review the incidence, etiology, pathogenesis, clinical manifestations, diagnosis, treatment, and mortality of acute intestinal obstruction secondary to idiopathic mesenteric hernia.
Main Methods:
- Systematic literature review of 139 reported cases.
Main Results:
- Acute intestinal obstruction with strangulation, without external hernia or prior surgery, should raise suspicion for internal hernia.
- Chronic intermittent abdominal distress and a palpable abdominal mass are key indicators.
Conclusions:
- Idiopathic mesenteric hernias are a critical consideration in acute intestinal obstruction.
- Timely diagnosis and intervention are vital for reducing mortality.