Tomodensitometric diagnosis of internal herniation: Report of 3 cases

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Published Jan 18, 2011
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Vol. 89 No. 1 (2011): Issue Jan 2011

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Amine Daghfous
Heykal Bedioui
Oussama Baraket
Sofiene Chouaieb
Sofiene Ayadi
Amin Makni
Wael Rebai
Rachid Ksantini
Faouzi Chebbi
Department of Surgery
Fadhel Fterich
Mohamed Jouini
A Ammous
Montasser Kacem
Nabil Ben Mami
Zoubeir Ben Safta

Abstract

Aims: To study the value of the CT scan in the diagnosis of internal herniation and to evaluate its performance comparing its features to preoperative data.
Cases: We report 3 cases of patients with internal hernias (two men and one woman whose age is 23, 45 and 60 years) hospitalised in emergency for a small bowel obstruction. There were no previous abdominal surgeries or trauma, The three patients underwent CT scan. Signs of tranmesenteric hernias and hernia through the
falciform ligament were diagnosed preoperatively and confirmed at laparotomy.
Conclusion: The internal hernia is rare cause of small bowel obstruction. The CT scan is an important way to make diagnosis and to choose the surgical strategy.

Keywords:

Internal hernia, abdomen, CT scan, surgery

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