Small Bowel Obstruction Secondary To Inguinal Hernia
Small bowel obstruction secondary to barbed suture after minimally invasive inguinal hernia repair buy article.
Small bowel obstruction secondary to inguinal hernia. The hernial orifice is directly anteromedial to the origin of the inferior epigastric arteries. We report a case of bowel obstruction secondary to postoperative interstitial hernia treated by laparoscopic approach. The majority of presentations are due to hernias containing either fat or small bowel. This type of hernia is rare and it can be easily overlooked in the setting of a patient with abdominal pain and suspicion of small bowel obstruction.
It was first described by bartholin in 1661 as a variation of inguinal hernia. However a wide range of intra abdominal viscera have been demonstrated in inguinal hernias. Computed tomography shows dilated small bowel loops secondary to incarcerated left inguinal hernia. Note the transition point between the dilated and collapsed bowel loops at the left inguinal hernia.
Risk factors include age over 70 years female sex the female male ratio is 6 1 multiparity underweight chronic constipation chronic obstructive pulmonary disease and ascites 2 the. Small bowel obstruction secondary to barbed suture after minimally invasive inguinal hernia repair. Small bowel obstruction secondary to a right inguinal region hernia. Zipple mk bankhead kendall b roy md yaldo b.
The hernia sac is directed towards the midline mimicking the course of the contralateral inguinal canal. An obturator hernia is a rare intra abdominal hernia accounting for 1 of all hernias and 1 6 of small bowel obstructions 1 obturator hernias are three times more common on the right side than on the left.