A rare cause of internal herniation - Intermesocolic fossa of Brosike
Internal Hernias are defined as “The protrusion of viscera through a normal or abnormal opening within the boundaries of the perito-neal cavity” which account for 0.5 – 5.8% of small bowel obstruc-tions while Autopsy incidence is 0.2% to 2%. Hernial defect may be congenital or acquired, the latter b...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Deccan College of Medical Sciences
2015-01-01
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| Series: | Journal of Medical and Allied Sciences |
| Subjects: | |
| Online Access: | http://jmas.in/Vol5Issue1/A%20rare%20cause%20of%20internal%20herniation%20-%20Intermesocolic%20fossa%20of%20Brosike.pdf |
| Summary: | Internal Hernias are defined as “The protrusion of viscera through a normal or abnormal opening within the boundaries of the perito-neal cavity” which account for 0.5 – 5.8% of small bowel obstruc-tions while Autopsy incidence is 0.2% to 2%. Hernial defect may be congenital or acquired, the latter being the more common va-riety. Types: Paraduodenal (53%), Pericaecal (13%), Foramen of Winslow (8%), Intersigmoid (6%), Transmesenteric (8%), Retroanastomotic (1-4%), Supravescical and pelvic (6%).Para duodenal Hernias are the most common internal abdominal herni-as accounting for half of reported cases. They are basically con-genital in origin representing entrapment of small intestine beneath the mesentery of colon probably occurring due to abnormal embryologic rotation of midgut and variation in peritoneal fixation and vascular folds. Among the paraduodenal hernias left sided hernias predominate, right being less common. We present one such rare case of a congenital, right paraduodenal hernia into the Intermesocolic fossa of Brosike. |
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| ISSN: | 2231-1696 2231-170X |