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Abdominal Internal Hernias; 5 Cases At Aristide Le Dantec Hospital

Introduction: Internal hernias correspond to an exit of bowel through a congenital or acquired intra-abdominal opening. In spite of their rarity, their anatomical and clinical characteristics are varied. They constitute a rare cause of digestive occlusion (approximately 1 to 5.8 % of all the occlusions). Materials and method: This is a retrospective study concerning 5 cases of internal hernias treated at Aristide Le Dantec hospital between October, 2004 and November, 2008. The studied parameters were: the circumstances of the diagnosis, the anatomical varieties, therapeutic care and results of the follow-up.Results: This study comprised 3 men and 2 women aged from 6 months to 82 years. The circumstance of discovery was always an acute intestinal obstruction. The CT scan realized in 3 patients had not allowed suspecting the internal hernia even if it had confirmed the organic occlusion. The diagnosis was then always per operating. At exploration, 1 right para-duodenal hernia, 1 supra-vesical hernia, 1 trans-mesenteric hernia, 1 trans-mesocolic hernia and 1 broad-ligament hernia were found. The treatment consisted of reduction of viable herniated bowel and closure of the abnormal opening. The postoperative course was simple in 4 patients. A patient of 82 years died as a result of an ischemic gangrene of the leg treated by amputation.Conclusion: Even if their frequency is low, it is advisable to think of the internal hernias in case of an acute occlusion, especially in the absence of a surgical history and of exteriorized hernias.


Auteur(s) : CISSE M, KONATE I, KA O, KA I, DIENG M, TOURE AO, DIA A, TOURE CT
Pages : 1-10
Année de publication : 2010
Revue : The Internet Journal of Surgery
N° de volume : volume 24 numéro 2
Type : Article
Mise en ligne par : KA Ousmane