| Autor: |
TENDENG, Jacques Noël, NDONG, Abdourahmane, DIALLO, Adja Coumba, DIEDHIOU, Moustapha, DIOP, Saër, DIAO, Mohamed Lamine, MANYACKA, Philippe, KONATE, Ibrahima |
| Předmět: |
|
| Zdroj: |
Surgical Chronicles; Jul-Sep2021, Vol. 26 Issue 3, p319-322, 4p |
| Abstrakt: |
Background: Strangulated internal hernias are rare. They are defined by a protrusion of small bowel or other abdominal organs through a normal or abnormal orifice in the peritoneum or mesentery into the abdominal cavity that may lead to strangulation. Internal hernias may be congenital or acquired postoperatively (bypass surgery or liver transplantation). They are often asymptomatic and are often discovered during acute intestinal obstruction. CT scan has a key place for the preoperative diagnosis. Otherwise, internal hernias are often discovered during surgical exploration. Cases presentation: We report 3 cases of internal hernias revealed by acute intestinal obstruction to discuss diagnostic and therapeutic aspects. These were internal hernias through an abnormal orifice including 2 trans-mesenteric with necrotic small bowel and 1 trans-mesocolic without necrosis. A closure of the orifice were performed with and Bowel resection and anastomosis in case of necrosis. The post-operative course was uneventful in all cases. Conclusion: Strangulated internal hernia is infrequent. The preoperative diagnosis without CT scan is difficult. Exploratory laparotomy can confirm the diagnosis and its topography. The treatment consists of the reduction of the contents followed by a closure of the defect. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
