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

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.
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PMID:Constipation. An uncommon etiology. 649 22

A relatively low success rate in recurrent incisional hernia repair has prompted us to review the effects of certain risk factors on the long-term outcome of our cases. In this study, 109 recurrent incisional hernias were repaired and reviewed between 7 and 92 months after the operation. The recurrence rate was 45.0%. Many conditions that have been implicated as causal factors in the occurrence of incisional hernias were not found to be associated with recurrence after repair. However, chronic constipation was determined to be the most prominent risk factor associated with late recurrence.
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PMID:Recurrence after incisional hernia repair: results and risk factors. 885 93

A two-year-old male with total tubular duplication of the colon and distal ileum combined with transmesenteric hernia is presented. Recurrent abdominal pain, distention of the abdomen and chronic constipation were the main complaints. A side-to-side anastomosis created through the lowermost part of the common wall of the duplication and colon proper, plus closure of the mesenteric defect and excision of the duplicated ileal loops relieved the patient of all symptoms. Postoperative stagnation of the stool in the closed hollow end of the duplication caused distention developing into a prolapsing pouch which required excision by transanal approach six years after the laparotomy.
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PMID:Total tubular duplication of the colon and distal ileum combined with transmesenteric hernia: surgical management and long-term-results. 887 62

We report a case of internal hernia of the small intestine in a 13-year-old boy with presentation of partial intestinal obstruction. The patient suffered from recurrent abdominal pain and chronic constipation over the past few years. An abdominal mass was suspected from clinical manifestations and images derived from abdominal echography. Upper gastrointestinal contrast study revealed poor motility at the distal jejunum with barium stasis. Follow-up film on the next day delineated medially and downwardly displaced splenic flexure and proximal descending colon. At operation, total herniation of small intestine into a retroperitoneal space through a defect on left mesocolon was noted. A left paraduodenal (mesocolic) hernia was diagnosed. The patient made an uneventful recovery after the hernia was repaired. This report provides unusual image clues of internal hernias of the small intestine presenting as ileus. Though rare, paraduodenal hernia should be taken into account in a differential diagnosis of intestinal obstruction. Early surgical intervention allows uneventful recovery to occur and also prevents the possible complication of gangrenous bowels.
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PMID:Left paraduodenal hernia presenting as intestinal obstruction: report of one case. 1143 65

We report a unique case of transmesenteric hernia resulting in death, which went undiagnosed during a recent hospital visit. The victim was a 2.5-year-old girl who - with the exception of chronic constipation - had no medical history. One night she complained of abdominal pains and was taken to a pediatric hospital where doctors performed an abdominal X-ray and echography. No significant findings suggesting bowel obstruction (e.g. air-fluid levels or dilation of the bowel) were obtained on examinations and bloody feces were not observed in this particular episode. As her abdominal pain gradually attenuated, the doctor allowed her to return home. A few hours later, she lost consciousness and expired despite resuscitation efforts attempted at an emergency hospital. A subsequent autopsy revealed that the small bowel had herniated through a defect in the mesentery resulting in two consecutive and inversely forming loops, in which each loop protruded on either side of the mesentery. This rare morphological anatomy seems to have progressed in a two-step process. The girl's mild abdominal pain was likely induced by herniation and formation of the first intestinal loop, followed by severe shock occurring when the subsequent intestinal segment invaginated into the same defect forming the second loop on the opposite side of the mesentery. This case illustrates the difficulty of diagnosing transmesenteric hernia due to the presentation of unspecific symptoms; especially in infants and toddlers. Furthermore, this report demonstrates the value of a complete autopsy in cases of sudden and unexpected deaths involving children.
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PMID:Transmesenteric hernia due to double-loop formation in the small intestine: a fatal case involving a toddler. 2185

Obturator hernia is a rare condition, characterized by the herniation of an intestinal segment between the obturator and the pectineus muscles through the obturator foramen. Obturator hernias usually occur in the elderly and are less common in males than in females, with a male-to-female ratio of about 1/14. In recent years, the use of diagnostic imaging, especially CT, to determine the causes of intestinal obstruction has been improved to allow for an early and accurate diagnosis, even of obturator hernias, which are extremely rare in male patients. We report a thin elderly man, without a history of surgery and with chronic constipation and an unremarkable Howship-Romberg sign, which was correctly diagnosed before surgery as an obturator hernia using CT.
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PMID:An Unusual Case of Obturator Hernia Detected in an Elderly Man by Computed Tomography. 3274 25