Acute Intestinal Occlusion: Think About Supra Bladder Internal Hernia

Abstract

Internal hernia of the supravesical fossa is a rare cause of intestinal obstruction [1]. This pathology arouses great interest among radiologists and surgeons due to its diagnostic difficulty, even with the advancement of different imaging techniques, particularly computed tomography [2]. We present the case of a patient without a history of laparotomy who presented with acute intestinal obstruction. Computed tomography examination revealed a strangulated left supravesical internal hernia. Diagnostic confirmation was obtained by laparoscopic exploration.