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Internal supravesical hernia: report of a case
F N Köksoy1, G R Soybir, T M Bulut
1Department of General Surgery, Taksim Hospital, Istanbul, Turkey.
The American Surgeon
|November 1, 1995
Summary
Vesical hernias are rare but can cause small bowel obstruction. This case highlights the importance of considering this unusual cause in patients presenting with intestinal obstruction symptoms.
Area of Science:
- Surgical Case Report
- Abdominal Surgery
- Gastroenterology
Background:
- Intestinal obstruction is a common surgical emergency.
- Hernias are a frequent cause of bowel obstruction.
- Supravesical hernias are exceptionally rare, involving protrusion into the space above the urinary bladder.
Observation:
- A patient presented with clinical signs indicative of small bowel obstruction.
- During exploratory laparotomy (celiotomy), a loop of small intestine was found incarcerated.
- The incarcerated intestine was located within the supravesical space, between the pubic bone and the urinary bladder.
Findings:
- The incarcerated small intestine loop was identified as the cause of the obstruction.
- The anatomical location of the entrapment was confirmed as a supravesical hernia.
- This represents a highly unusual presentation of a vesical hernia.
Implications:
- Vesical hernias, though rare, should be considered in the differential diagnosis of small bowel obstruction.
- Surgical intervention is necessary for incarcerated vesical hernias.
- This case underscores the importance of thorough intraoperative examination in diagnosing uncommon causes of bowel obstruction.