Internal Hernia

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.