A RARE CASE OF SPONTANEOUS INTERNAL HERNIA

Abstract

Internal hernias are a rare cause of intestinal obstruction and most commonly iatrogenic, resulting from previous surgical interventions, abdominal trauma or inammation. Occasionally, they may occur spontaneously. We report the case of a 70-year-old femaleadmitted to the emergency room with acute abdominal pain, abdominal distension consistent with intestinal obstruction. Computed tomography (CT) scan of abdomen and pelvis revealed acute intestinal obstruction and emergency laparotomy revealed herniation of distal jejunal and proximal ileal loop through a supra-mesocolon space into lesser sac, resulting in strangulation. Both radiologists and surgeons must be aware of rare internal hernia subtypes, to avoid delays in diagnosis and treatment. Abdominal CT is the rst-line imaging of choice, providing useful diagnostic hallmarks. Nevertheless, surgical exploration is typically essential to conrm the diagnosis, identify the defect and assess bowel viability.