Department of General Surgery, CHU Mohammed VI, Marrakech, Morocco.
Hernia. 2010 Aug;14(4):427-9. doi: 10.1007/s10029-009-0553-7. Epub 2009 Sep 1.
Internal hernias, including paraduodenal (traditionally the most common), pericecal, foramen of Winslow, and intersigmoid hernias, account for approximately 0.5-5.8% of all cases of intestinal obstruction and are associated with a high mortality rate, exceeding 50% in some series. We report an extremely rare case of an internal abdominal hernia, through the right mesocolon, in a young woman with a right colon with no peritoneal fixation. This hernia was revealing by abdominal pain, nausea, and vomiting. The diagnosis of internal hernia was suggested by computed tomography (CT), but the exact type of internal hernia was confirmed by surgical exploration. The postoperative course was uneventful and the patient fully recovered after 3 days. The patient is free from symptoms and from recurrence, after 12 months of follow-up.
内疝，包括十二指肠旁疝（传统上最常见）、盲肠旁疝、Winslow 孔疝和乙状结肠间疝，占所有肠梗阻病例的 0.5-5.8%，并与高死亡率相关，在一些系列中超过 50%。我们报告了一例极其罕见的通过右结肠系膜的女性右侧结肠无腹膜固定的内脏内疝。该内疝通过腹痛、恶心和呕吐表现出来。腹部 CT 提示内疝的诊断，但通过手术探查证实了具体的内疝类型。术后恢复顺利，患者在 3 天后完全康复。经过 12 个月的随访，患者无任何症状，也无复发。
