Incarcerated Internal Abdominal Hernia: A Rare Case Report

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Abstract

Internal abdominal hernias are rare abdominal hernias. Several internal abdominal hernias are associated with diagnostic challenges owing to the extremely low incidence of complicated forms of this condition. This report presents a clinical case with a description of the surgical intervention and postoperative management. A 42-year-old woman was urgently admitted to the surgical department with a presumptive diagnosis of sigmoid diverticulitis or sigmoid mesoappendix torsion. Diagnostic laparoscopy showed an incarcerated ileal loop 120.0 cm proximal to the ileocecal junction, entrapped within a defect of the left broad ligament of the uterus. The incarceration was released and the defect sutured. Moreover, the postoperative course was uneventful. The surgical wound healed by primary intention, and no febrile episodes occurred. Gastrointestinal function recovered, and the patient passed a formed stool on postoperative day 2. The patient was discharged in satisfactory condition on post-admission day 4, with recommendations for follow-up by a surgeon and gynecologist. This case report reveals that rare internal abdominal hernias can present with various clinical manifestations, complicating the diagnostic process.

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About the authors

Dmitriy M. Krasilnikov

Kazan State Medical University

Email: dmkras131@gmail.com
ORCID iD: 0000-0003-4973-4040
SPIN-code: 8395-0990

MD, Dr. Sci. (Medicine), Professor, Head, Depart. of Surgical Diseases

Russian Federation, 49 Butlerova st, Kazan, 420012

Yaroslav Y. Nikolayev

Kazan State Medical University

Email: yarosniko@mail.ru

MD, Cand. Sci. (Medicine), Chief Physician

Russian Federation, 49 Butlerova st, Kazan, 420012

Rushan Sh. Agliullin

Kazan State Medical University

Author for correspondence.
Email: rushan-agliullin@mail.ru
ORCID iD: 0009-0008-4859-0640
SPIN-code: 9944-0550

Assistant, Depart. of Surgical Diseases

Russian Federation, 49 Butlerova st, Kazan, 420012

References

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Supplementary files

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2. Fig. 1. Incarcerated loop of small intestine in the hernia orifice.

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3. Fig. 2. Incarcerated intestinal loop during extraction from the hernia orifice.

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4. Fig. 3. Broad ligament of the uterus after extraction of the incarcerated loop of small intestine.

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