Intraoperative Diagnosis of Three Exceptional Cases of Internal Hernias during an Acute Intestinal Obstruction Pattern
Ettaoussi Abdelhak
Visceral Emergency Service, Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Tijani Nissrine *
Visceral Emergency Service, Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Majd Abdessamad
Visceral Emergency Service, Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Kamal Khadija
Visceral Emergency Service, Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
El Bakuri Abdelilah
Visceral Emergency Service, Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Bouali Mounir
Visceral Emergency Service, Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
El Hattabi Khalid
Visceral Emergency Service, Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Internal hernias are rare, representing 0.5-5% of acute intestinal obstructionsi. The diagnosis is suggested in a subject with no surgical history presenting with an occlusive syndrome. We report 3 cases of internal hernias through the triangular ligament, the falciform ligament and the mesosigmoid in subjects between 60 and 75 years old responsible for ileal strangulation with reversible ischemia, discovered incidentally during surgery and whose treatment was the release of the intestinal contents and the flattening of the newly formed cavity.
Keywords: Internal hernia, intestinal obstruction, triangular ligament of the liver, falciform ligament, intramesosigmoid internal hernia