Incarcerated Internal Abdominal Hernia: A Rare Case Report
- Authors: Krasilnikov D.M.1, Nikolayev Y.Y.1, Agliullin R.S.1
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Affiliations:
- Kazan State Medical University
- Issue: Vol 106, No 3 (2025)
- Pages: 474-478
- Section: Clinical experiences
- Submitted: 27.03.2025
- Accepted: 22.04.2025
- Published: 30.05.2025
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/677796
- DOI: https://doi.org/10.17816/KMJ677796
- EDN: https://elibrary.ru/XVKKBA
- ID: 677796
Cite item
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, 420012Yaroslav Y. Nikolayev
Kazan State Medical University
Email: yarosniko@mail.ru
MD, Cand. Sci. (Medicine), Chief Physician
Russian Federation, 49 Butlerova st, Kazan, 420012Rushan 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, 420012References
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