Internal Hernia
Internal hernia is the protrusion of
abdominal viscous through a rent in the peritoneum
or mesentery.
Types of internal hernia are:-
Para duodenal hernia ( Most common)
Trans mesenteric hernia
Trans omental hernia
Foramen of Winslow
Pericaecal hernia
Sigmoid mesocolon hernia
Supravesical hernia
Pelvic hernia
Internal herniation of small bowel
can result in Intestinal Obstruction.
Clinical Features:
Abdominal pain
Abdominal distension
Absolute constipation
Vomiting
Investigations:
Plain radiograph of Abdomen
Ultra sound Abdomen
Surgical Treatment:
Emergency Laparotomy
Reduction of the hernia if the loops
of intestines are viable
Resection anastamosis if the involved
segment of intestine is not viable.
Obliteration of the defect in the
mesentery/omentum /peritoneal aperture.
