Rare Hernias Presenting as Acute Abdomen- A Case Series
Hernia is an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. It can be divided into internal, external and diaphragmatic hernias. Most of them can be asymptomatic. If they become symptomatic they can present with features of intestinal obstruction, incarceratio...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2016-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/7401/17356_CE[Ra1]_F(P)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdf |
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| author | Roney Johnson John Sansho Elavumkal Ulahannan John S Kurien Aneesh Joseph Annie Sandhya Kurien Sandeep Abraham Varghese Bindhya Thomas Fobin Varghese |
| author_facet | Roney Johnson John Sansho Elavumkal Ulahannan John S Kurien Aneesh Joseph Annie Sandhya Kurien Sandeep Abraham Varghese Bindhya Thomas Fobin Varghese |
| author_sort | Roney Johnson John |
| collection | DOAJ |
| description | Hernia is an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. It can be divided into internal, external
and diaphragmatic hernias. Most of them can be asymptomatic. If they become symptomatic they can present with features of intestinal
obstruction, incarceration or strangulation. In this case series we compare the incidence of these rare presentations of hernias with world
literature and to warn surgeons not to cut the obstructing band in cases of internal hernias. In this case series, we review the clinical
details of 7 rare presentations of hernia, who presented with various types of hernias to a tertiary care centre in Kerala over a period of
one year. Of these 7 cases 6 cases were internal hernias (3 left paraduodenal hernias, 2 transmesentric hernias, and 1 pericaecal hernia)
and a case of spigelian hernia above the level of umbilicus. All of them presented as acute abdomen in the emergency department.
Among these 7 cases, only one case was diagnosed preoperatively. Three patients had bowel gangrene and had to undergo resectionanastomosis of the bowel. The survival rate among these cases was 100% as compared to 50% in the world literature if they had been
left untreated. Even though internal hernias are a rare entity, we need to have it as a differential diagnosis in case of intestinal obstruction,
in a previously non-operated abdomen. |
| first_indexed | 2024-12-18T06:35:36Z |
| format | Article |
| id | doaj.art-b0719dd338fc43cf9f16ba5cc2c07529 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-18T06:35:36Z |
| publishDate | 2016-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-b0719dd338fc43cf9f16ba5cc2c075292022-12-21T21:17:48ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-03-01103PR01PR0410.7860/JCDR/2016/17356.7401Rare Hernias Presenting as Acute Abdomen- A Case SeriesRoney Johnson John0Sansho Elavumkal Ulahannan1John S Kurien2Aneesh Joseph3Annie Sandhya Kurien4Sandeep Abraham Varghese5Bindhya Thomas6Fobin Varghese7Senior Resident, Department of General Surgery, Government Medical College, Kottayam, Kerala, India.Assistant Professor, Department of General Surgery, Government Medical College, kottayam, Kerala, India.Professor and Head of the Department, Department of General Surgery, Government Medical College, Kottayam, Kerala, India.Senior Resident, Department of General Surgery, Government Medical College, Kottayam, Kerala, India.Senior Resident, Department of General Surgery, Government Medical College, Kottayam, Kerala, India.Assistant Professor, Department of General Surgery, Government Medical College, kottayam, Kerala, India.Junior Resident, Department of General Surgery, Government Medical College, Kottayam, Kerala, India.Junior Resident, Department of General Surgery, Government Medical College, Kottayam, Kerala, India.Hernia is an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. It can be divided into internal, external and diaphragmatic hernias. Most of them can be asymptomatic. If they become symptomatic they can present with features of intestinal obstruction, incarceration or strangulation. In this case series we compare the incidence of these rare presentations of hernias with world literature and to warn surgeons not to cut the obstructing band in cases of internal hernias. In this case series, we review the clinical details of 7 rare presentations of hernia, who presented with various types of hernias to a tertiary care centre in Kerala over a period of one year. Of these 7 cases 6 cases were internal hernias (3 left paraduodenal hernias, 2 transmesentric hernias, and 1 pericaecal hernia) and a case of spigelian hernia above the level of umbilicus. All of them presented as acute abdomen in the emergency department. Among these 7 cases, only one case was diagnosed preoperatively. Three patients had bowel gangrene and had to undergo resectionanastomosis of the bowel. The survival rate among these cases was 100% as compared to 50% in the world literature if they had been left untreated. Even though internal hernias are a rare entity, we need to have it as a differential diagnosis in case of intestinal obstruction, in a previously non-operated abdomen.https://jcdr.net/articles/PDF/7401/17356_CE[Ra1]_F(P)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdfabdominal wall abscessinternal herniaintestinal obstructionspigelian hernia |
| spellingShingle | Roney Johnson John Sansho Elavumkal Ulahannan John S Kurien Aneesh Joseph Annie Sandhya Kurien Sandeep Abraham Varghese Bindhya Thomas Fobin Varghese Rare Hernias Presenting as Acute Abdomen- A Case Series Journal of Clinical and Diagnostic Research abdominal wall abscess internal hernia intestinal obstruction spigelian hernia |
| title | Rare Hernias Presenting as Acute Abdomen- A Case Series |
| title_full | Rare Hernias Presenting as Acute Abdomen- A Case Series |
| title_fullStr | Rare Hernias Presenting as Acute Abdomen- A Case Series |
| title_full_unstemmed | Rare Hernias Presenting as Acute Abdomen- A Case Series |
| title_short | Rare Hernias Presenting as Acute Abdomen- A Case Series |
| title_sort | rare hernias presenting as acute abdomen a case series |
| topic | abdominal wall abscess internal hernia intestinal obstruction spigelian hernia |
| url | https://jcdr.net/articles/PDF/7401/17356_CE[Ra1]_F(P)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdf |
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