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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A previously unreported case of colonic obstruction secondary to incarcerated spigelian hernia is presented. The diagnosis was suspected preoperatively, based on the results of a barium-enema examination. Available diagnostic techniques are reviewed.
Dis Colon Rectum 1990 Apr
PMID:Colonic obstruction secondary to incarcerated spigelian hernia. Report of a case. 232 81

A case of colopleural fistula, resulting from strangulation and perforation of a diaphragmatic hernia and presenting as tension pneumothorax, is reported. The hernia was most likely a consequence of a stab wound to the left side of the chest four years before admittance. Colopleural fistula as a cause of tension pneumothorax is an extremely rare entity, reported only once in past English medical literature.
Dis Colon Rectum 1989 Feb
PMID:Colopleural fistula presenting as tension pneumothorax in strangulated diaphragmatic hernia. Report of a case. 291 30

One hundred twenty-six patients underwent 130 end colostomies, 44 for benign and 86 for malignant disease, and were followed for an average of 35 months. The left or sigmoid colon was used in 99 and the transverse colon in 31. Stomas were made electively in 98 patients and urgently in 32. Seventy-six stomas were brought out through the incision and 54 from separate sites. There were 69 complications in 55 patients (44 percent) including 11 strictures, 9 wound infections, 14 hernias, 9 small-bowel obstructions, 4 prolapses, 2 abscesses, 1 peristomal fistula, 17 skin erosions, and 2 poor stoma locations. Fifteen complications required reoperation. Five of these procedures included stoma revision. Total numbers of complications were not related to the stoma site, the disease process, the urgency of the procedure, or the segment of colon used. Wound infections, however, were increased in urgently made stomas. The incidence of hernia was equivalent in stomas brought out through the incision or at a separate site. Forty-one patients (30 percent) had 43 colostomies closed an average of 3.5 months after creation. Thirteen patients had 14 complications--5 wound infections, 6 hernias, 2 small-bowel obstructions, and 1 rectovaginal fistula. One patient died. Four patients required reoperation. There were no anastomotic leaks. Complications were equivalent in Hartmann closures and transverse colostomy closures. Complications were similar in stomas created for cancer and those created for diverticular disease.
Dis Colon Rectum 1989 Apr
PMID:Complications of colostomies. 292 70

A unique abdominal internal hernia is described. A 30-year-old man suffered intestinal obstruction and strangulation due to incarceration of the transverse colon in the subphrenic space. This phenomenon is contrasted with Chilaiditi's syndrome (hepatodiaphragmatic interposition).
Dis Colon Rectum 1986 Oct
PMID:Internal hernia of the transverse colon. A new syndrome. 375 7

A patient with incarcerated Crohn's appendicitis and a spigelian hernia is presented, representing the challenge in diagnosis, incision choice, and choice of definitive surgical procedure. While it is unlikely that the report of such a patient's course will make prospective recognition of this rare entity more likely, a systematic approach to this patient has allowed a satisfactory result with minimal complications.
Dis Colon Rectum 1986 Oct
PMID:Crohn's appendicitis in an incarcerated spigelian hernia. 375 8

A patient with a lumbar hernia of Petit, presenting as an obstructing lesion of the ascending colon and concomitant acute cholecystitis is described. The anatomy, cause, and surgical treatment of lumbar hernia are reviewed.
Dis Colon Rectum 1986 Nov
PMID:A lumbar hernia presenting as an obstructing lesion of the colon. 376 90

During a two-year period, five patients were treated by us for acute intestinal obstruction caused by an incarcerated paracecal hernia. All patients underwent surgery early, so none required bowel resection. The possibility of an internal hernia as a cause of intestinal obstruction and a profound knowledge of the pericecal anatomy, however, are necessary for successful diagnosis and treatment of paracecal hernias.
Dis Colon Rectum 1986 Nov
PMID:Paracecal hernia: a cause of intestinal obstruction. 376 94

An uncommon cause of chronic constipation is presented in a case report. The patient presented with chronic cough and constipation. Work-up revealed a loop of transverse colon herniated through a right diaphragmatic tear resulting from an old, blunt, abdominal injury. The diaphragmatic hernia was repaired through a right thoracotomy without complications. Diaphragmatic hernia should be ruled out in patients who present with chronic respiratory or vague abdominal symptoms, especially after a history of blunt abdominal trauma. Once the diagnosis is confirmed, expeditious surgical treatment should be undertaken to prevent the development of obstruction or strangulation and its grave consequences. Thoracotomy is the incision of choice, as it affords good exposure for lysis of adhesions, reduction of the hernia, and repair of the diaphragmatic defect.
Dis Colon Rectum 1984 Dec
PMID:Constipation. An uncommon etiology. 649 22

A patient with herniation of the cecum through the foramen of Winslow is described. Herniation through the foramen of Winslow is among the rarest of hernias. Preoperative diagnosis is unusual but is possible for the astute clinician who, on abdominal x-ray, notices air in the lesser sac with displacement of the stomach anteriorly and to the left. Treatment, of course, is prompt surgical intervention with reduction of the hernia and resection of any nonviable bowel.
Dis Colon Rectum
PMID:Herniation through the foramen of Winslow. 717 54

A case of cecal herniation through the foramen of Winslow is presented. Although rare in occurrence, it carries a high mortality risk when diagnosis and treatment are delayed. A better understanding of the nature of this hernia and appreciation of the classic radiographic findings will allow for earlier recognition and treatment.
Dis Colon Rectum
PMID:Herniation of the cecum through the foramen of Winslow. 738 24


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