Cases reported "Hernia, Abdominal"

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1/9. Paraduodenal hernia: an uncommon cause of recurrent abdominal pain.

    Internal abdominal hernias are a rare entity and may cause unexplained abdominal pain. This report concerns a 46 year old male patient, with a four year history of episodic colicky peristaltic abdominal pains, in whom a left paraduodenal hernia was found at surgical exploration after a negative diagnostic screening by ultrasound, CT and small bowel enema. Upon laparotomy the Authors found a left-sided paraduodenal hernia with an empty herniated sack. Repair of the hernial defect resulted in the complete and stable resolution of abdominal symptoms. The importance of considering paraduodenal hernias in the differential diagnosis of unexplained intermittent abdominal pain is discussed.
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keywords = abdominal pain
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2/9. Laparoscopic revision of a ventriculoperitoneal shunt.

    Ventriculoperitoneal (VP) shunts are the most common treatment modality for hydrocephalus. Distal catheter malfunction represents a surgical emergency and a significant cause of procedural morbidity. We report the case of a patient with acute abdominal pain following VP shunt insertion. On examination she had a tender, irreducible bulge at the abdominal laparotomy site. Exploratory laparoscopy of the abdomen yielded no abdominal wall abnormalities. At the same time, the distal catheter was noted to be absent. The abdominal bulge was incised along the laparotomy scar and clear cerebrospinal fluid was encountered. The incision was explored and the distal catheter was coiled and knotted within the preperitoneal space. The catheter was laparoscopically returned to the peritoneal cavity. This case exemplifies the utility of laparoscopy for VP shunt revision and we present a review of laparoscopic shunt revision.
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keywords = abdominal pain
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3/9. Computed tomographic appearance of internal herniation through the sigmoid mesocolon.

    The case of a patient with surgically proven internal herniation of a loop of ileum through the sigmoid mesocolon is described. This 66-year-old man presented clinically with acute lower abdominal pain and an elevated white blood cell count. A computed tomography (CT) scan showed a thickened bowel loop with "bird-beak" appearance in the pelvis, centered towards the medial side and lying aside the effaced sigmoid colon. We think this CT picture is highly suggestive of internal herniation of the ileum through the sigmoid mesocolon, which is a rare clinical entity.
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ranking = 0.16666666666667
keywords = abdominal pain
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4/9. pregnancy after gastric bypass surgery and internal hernia formation.

    BACKGROUND: gastric bypass is a surgical procedure that is increasingly performed in the united states to treat morbid obesity. Because of the changes associated with pregnancy, women with a history of gastric bypass surgery may be at an increased risk of gastrointestinal complications during the antepartum period, as demonstrated by these cases. CASES: The first patient presented at 12 weeks of gestation with abdominal pain. Computed tomography scan revealed rotation of the small bowel mesentery. In the operating room, a Petersen's internal hernia was observed. The second patient presented at 34 weeks of gestation with epigastric pain, nausea, and vomiting. An abdominal computed tomography scan suggested distention of the biliopancreatic limb, duodenum, and bypassed stomach. She underwent exploratory laparotomy with repair of an internal (mesenteric loop) hernia. CONCLUSION: As obstetricians, we should be aware of the potential for internal hernias in pregnant patients who have undergone bariatric surgery.
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keywords = abdominal pain
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5/9. Clinics in diagnostic imaging (107).

    A 90-year-old woman was admitted for progressively increasing lower abdominal pain. There was no history of prior surgery, and physical examination was non-specific. The supine abdominal radiograph revealed an abnormal collection of air over the right obturator foramen. Computed tomography showed a right obturator hernia with incarcerated bowel in the hernial sac, and a right sciatic hernia containing the right ovary. The anatomy of obturator and inguinal hernias is reviewed, and the use of various imaging modalities in evaluation of abdominal hernias is discussed.
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keywords = abdominal pain
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6/9. Late sigmoid colon internal herniation into the jejuno-jejunostomy mesenteric defect after laparoscopic Roux-en-Y gastric bypass.

    A 49-year-old female with morbid obesity (BMI 42) underwent laparoscopic Roux-en-Y gastric bypass (LRYGBP). 10 months after the operation, she presented to the hospital with intermittent mid-abdominal pain. An internal hernia of the sigmoid colon through a mesenteric defect of the jejuno-jejunostomy was found. Although small bowel internal herniation has been widely documented, the finding of large bowel internal herniation has not been previously reported. Maintaining a high index of suspicion and a low threshold for urgent intervention are required when evaluating patients with vague abdominal complaints after LRYGBP.
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ranking = 0.16666666666667
keywords = abdominal pain
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7/9. Paraduodenal hernia evoking intermittent abdominal pain.

    PURPOSE: Description of a very rare case of internal abdominal hernia, namely herniation of the proximal jejunum in the Landzert fossa, through a hole in the mesocolon transversum. MATERIAL AND methods: Based on preoperative history, clinical state and radiological findings, the diagnosis of internal hernia was strongly suspected. RESULTS: Suspected diagnosis was confirmed during laparotomy. After reduction of the jejunum and closure of the hernia orifice, the patient recovered promptly. CONCLUSION: The diagnosis of internal herniation should always be considered in every patient who presents with an acute abdomen, signs of (sub)obstruction and non-typical history. The most important diagnostic tool is computer tomography, that is accurate in 77%.
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ranking = 0.66666666666667
keywords = abdominal pain
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8/9. Incarcerated Spigelian hernia: a case report.

    BACKGROUND: Spigelian hernia is a rare partial abdominal wall defect in the transversus abdominus aponeurosis or Spigelian fascia. We here report the case of a patient with incarcerated greater omentum in a Spigelian hernia. CASE REPORT: The patient presented with a six-hour history of nausea, constant abdominal pain, and a palpable mass in the left lower quadrant. Abdominal computed tomography revealed that omentum was strangulated in a Spigelian hernia that was successfully treated by plug and mesh repair. No recurrence has been observed during three-year follow-up. CONCLUSIONS: In our case, plug and mesh repair was a safe and effective method of repairing an incarcerated Spigelian hernia with durability through three years of follow-up.
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ranking = 0.16666666666667
keywords = abdominal pain
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9/9. A rare hernia of intra-abdominal fat in the thorax under an intact diaphragm: multidetector computed tomography.

    Neither abdominal wall hernia nor diaphragmatic hernia is an unusual disease. But some may have difficulty diagnosing the presence of intra-abdominal fat in the thorax under an intact diaphragm. We report a case with an external compression of the right lower lung from intra-abdominal fat owing to a hernia through the right lateral abdominal wall and secondary through the ninth intercostal space of the chest wall to the right lower thorax without traumatic history. Multiple images, including multidetector row computed tomography, are reviewed.
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ranking = 0.00016830930144706
keywords = chest
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