Anaesthesia Management for Acquired Internal Hernia A Rare Cause of Subacute Intestinal Obstruction

Abstract

Internal hernia are a rare cause of subacute intestinal obstruction in adults. Internal hernia has reported autopsy incidence of 0.2 – 0.9 % and is cause of small bowel obstruction in 0.6 – 5.8 % of cases. In this case report we present successful anaesthetic management of a 39-year-old Indian male with internal hernia presenting as subacute intestinal obstruction who underwent exploratory laparotomy under combined spinal epidural anaesthesia. This case provides that combined spinal epidural can be an effective technique for gastrointestinal surgery with spontaneous respiration in short stature patients. Keywords: Internal hernia, Sub­acute intestinal obstruction, Combined spinal epidural anaesthesia