A CASE OF SMALL BOWEL OBSTRUCTION SECONDARY TO TRANSVERSE MESOCOLIC INTERNAL HERNIATION

Received 2020-07-21; Accepted 2021-09-13; Published 2021-10-6

Authors

  • Jegdiswary Krishinan Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
  • Hooi Ching Koh Radiology Department, Hospital Seberang Jaya, 13700 Pulau Pinang, Malaysia.
  • Noor Khairiah A. Karim Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, 13200 Bertam, Kepala Batas, Pulau Pinang, Malaysia.
  • Ibrahim Lutfi Shuaib Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, 13200 Bertam, Kepala Batas, Pulau Pinang, Malaysia.

DOI:

https://doi.org/10.22452/jummec.vol25no1.3

Keywords:

: small bowel obstruction, transversemesocolic internal herniation, CT features.

Abstract

Internal abdominal herniation can be a cause for bowel obstruction and still being under diagnosed. Transmesenteric internal herniation is increasing in occurrence as more surgical intervention being performed. Clinical diagnosis of internal herniation can be very challenging. Computed tomography could be the first imaging modality to discover a clinically unsuspected internal herniation especially in patient with previous surgical intervention. Radiologist should be aware of computed tomography features like reversal of the normal anatomical arrangement of the bowels as well as the mesenteric vessel changes, which raise the suspicion of internal hernia in patient presenting with bowel obstructive symptoms.

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Published

2022-01-20

Issue

Section

Research article