Rare internal hernia in the falciform ligament as a rare course of abdominal emergency and infrequent cause of ileus
Authors:
J. Cagaš; P. Vlček; J. Jeřábek
Authors place of work:
I. chirurgická klinika, FN U sv. Anny v Brně, přednosta: Prof. MUDr. I. Čapov, CSc.
Published in the journal:
Rozhl. Chir., 2012, roč. 91, č. 10, s. 558-560.
Category:
Case Report
Summary
Intestinal obstruction caused by an internal hernia is considered to be a rare cause of ileus. The rarest of these is herniation through the falciform ligament. In our article we present the case of a 45-year old female patient operated on for small bowel herniation through a defect in the falciform ligament. The loops were laparoscopically repositioned into the free abdominal cavity and the defect was removed by electrocautery. After the operation the patient was stabilised and discharged into outpatient care. Our article also analyses relevant literature and the diagnostic methods because the abovementioned diagnosis is rare and often established as late as postoperatively.
Key words:
internal hernia – the falciform ligament – iatrogenous defect in the falciform ligament
Zdroje
1. Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol 2006;186,3:703–17.
2. Charles A, Shaikh AA, Domingo S, Kreske E. Falciform ligament hernia after laparoscopic cholecystectomy: a rare case and review of the literature. Am Surg 2005;71,4:359–61.
3. Lakdawala M, Chaube SR, Kazi Y, Bhasker A, Kanchwala A.: Internal hernia through an iatrogenic defect in the falciform ligament: a case report. Hernia 2009;13,2:217–9.
4. Coulier B, Broze B, Mailleux P. Small bowel internal herniation through the falciform ligament: 64-row MDCT diagnosis. Emerg Radiol 2010;17,1:73–78.
5. Šváb J, Pešková M, Kasalický M, Křivánek J. Uskřinutá Waldeyerova kýla jako příčina nekrózy tenkého střeva (Kazuistika). Rozhl Chir 1999;78,4:154–157.
6. Blachar A, Federle MP, Dodson SF. Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology 2001;218,1:68–74.
7. Blachar A, Federle MP. Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MRv 2002;23,2:174–83.
8. Hussein M, Khreiss M, Al-Helou G, Alaeddine M, Elias E, Abi Saad GS. Laparoscopic repair of a left paraduodenal hernia presenting with acute bowel obstruction: report of a case. Surg Laparosc Endosc Percutan Tech 2012;22,1:28–30.
9. Talebpour M, Habibi GR, Bandarian F. Laparoscopic management of an internal double omental hernia: a rare cause of intestinal obstruction. Hernia 2005;9,2:195–7.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2012 Číslo 10
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
Najčítanejšie v tomto čísle
- Traumatic rupture of thoracic aorta
- Anaplastic carcinoma of the thyroid gland
- Catamenial pneumothorax – case studies from our department in a ten-year period
- Idiopathic inflammatory bowel disease – advancements in surgical treatment