Internal hernia through a peritoneal defect in the pouch of Douglas: Report of a case
INTRODUCTION: Internal hernia is a rare entity which can cause intestinal obstruction. The most common type of internal hernia is the paraduodenal hernia which accounts for 53% of cases, and the internal hernia within the pelvis account for 7%. Perineal hernia, which is classified as pelvic hernia,...
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2012
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| Truy cập trực tuyến: | https://ncbi.nlm.nih.gov/pmc/articles/PMC3537959/ https://ncbi.nlm.nih.gov/pubmed/23159912 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1016/j.ijscr.2012.10.015 |
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pubmed-35379592013-01-08 Internal hernia through a peritoneal defect in the pouch of Douglas: Report of a case Suwa, Katsuhito Yamagata, Tetsuya Hanyu, Ken Suzuki, Toshiaki Okamoto, Tomoyoshi Yanaga, Katsuhiko Int J Surg Case Rep Article INTRODUCTION: Internal hernia is a rare entity which can cause intestinal obstruction. The most common type of internal hernia is the paraduodenal hernia which accounts for 53% of cases, and the internal hernia within the pelvis account for 7%. Perineal hernia, which is classified as pelvic hernia, usually occurs due to weakening of the pelvic floor musculature and thus, should be distinguished from the internal hernia caused by peritoneal defects in the pelvic cavity. PRESENTATION OF CASE: We present a case of 28-year-old female who presented intestinal obstruction. Conservative therapies failed and she required emergency laparotomy. The operative findings revealed a peritoneal defect of 2 cm in diameter in the pouch of Douglas, through which the ileum was incarcerated and strangulated. The incarcerated bowel was reduced, and the intestinal color quickly returned to normal. Therefore a primary closure of the peritoneal defect was performed and the postoperative course was uneventful. DISCUSSION: A PubMed search for the case of internal hernia through a defect in the pouch of Douglas revealed only three, making this an extremely rare condition. CONCLUSION: Because of rarity of this hernia, the etiology is unknown. However, our patient is a young female with no history of pregnancy, abdominal surgery, or trauma, therefore the cause of the peritoneal defect is considered congenital. Elsevier 2012-10-30 /pmc/articles/PMC3537959/ /pubmed/23159912 http://dx.doi.org/10.1016/j.ijscr.2012.10.015 Text en © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved. |
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Inglês |
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Article Suwa, Katsuhito Yamagata, Tetsuya Hanyu, Ken Suzuki, Toshiaki Okamoto, Tomoyoshi Yanaga, Katsuhiko Internal hernia through a peritoneal defect in the pouch of Douglas: Report of a case |
| description |
INTRODUCTION: Internal hernia is a rare entity which can cause intestinal obstruction. The most common type of internal hernia is the paraduodenal hernia which accounts for 53% of cases, and the internal hernia within the pelvis account for 7%. Perineal hernia, which is classified as pelvic hernia, usually occurs due to weakening of the pelvic floor musculature and thus, should be distinguished from the internal hernia caused by peritoneal defects in the pelvic cavity. PRESENTATION OF CASE: We present a case of 28-year-old female who presented intestinal obstruction. Conservative therapies failed and she required emergency laparotomy. The operative findings revealed a peritoneal defect of 2 cm in diameter in the pouch of Douglas, through which the ileum was incarcerated and strangulated. The incarcerated bowel was reduced, and the intestinal color quickly returned to normal. Therefore a primary closure of the peritoneal defect was performed and the postoperative course was uneventful. DISCUSSION: A PubMed search for the case of internal hernia through a defect in the pouch of Douglas revealed only three, making this an extremely rare condition. CONCLUSION: Because of rarity of this hernia, the etiology is unknown. However, our patient is a young female with no history of pregnancy, abdominal surgery, or trauma, therefore the cause of the peritoneal defect is considered congenital. |
| author |
Suwa, Katsuhito Yamagata, Tetsuya Hanyu, Ken Suzuki, Toshiaki Okamoto, Tomoyoshi Yanaga, Katsuhiko |
| author_facet |
Suwa, Katsuhito Yamagata, Tetsuya Hanyu, Ken Suzuki, Toshiaki Okamoto, Tomoyoshi Yanaga, Katsuhiko |
| author_sort |
Suwa, Katsuhito |
| title |
Internal hernia through a peritoneal defect in the pouch of Douglas: Report of a case |
| title_short |
Internal hernia through a peritoneal defect in the pouch of Douglas: Report of a case |
| title_full |
Internal hernia through a peritoneal defect in the pouch of Douglas: Report of a case |
| title_fullStr |
Internal hernia through a peritoneal defect in the pouch of Douglas: Report of a case |
| title_full_unstemmed |
Internal hernia through a peritoneal defect in the pouch of Douglas: Report of a case |
| title_sort |
internal hernia through a peritoneal defect in the pouch of douglas: report of a case |
| publisher |
Elsevier |
| publishDate |
2012 |
| url |
https://ncbi.nlm.nih.gov/pmc/articles/PMC3537959/ https://ncbi.nlm.nih.gov/pubmed/23159912 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1016/j.ijscr.2012.10.015 |
| _version_ |
1798655282366119936 |