INTERNAL INCARCERATION OF THE SMALL INTESTINE
Journal
Macedonian Journal of Anaesthesia
Date Issued
2021
Author(s)
Davidovski A
Martinovska Z
Abstract
Incarcerated hernia is often accompanied by strangulation and subsequent necrosis of the stran-
gulated tissue. Incarcerations through visible natural openings in the abdominal wall or at the incision
sites of previous surgeries, are much easier to diagnose. In contrast, incarcerated internal hernias
with the same danger and risk to the patient are often much more difficult to diagnose preoperatively.
Often, computed tomography cannot confirm internal incarceration with complete certain-
ty (3). Such a diagnosis should be suspected especially in any patient who has had previous
abdominal surgery and it occurs in a state of intestinal obstruction or acute abdomen, with no
signs of pneumoperitoneum.
This case report describes a 73-years-old male with internal incarcerated hernia with small
intestine obstruction, who was found an opening – defect of the gastrocolic ligament in which
was herniated and strangulated part from the small intestine
gulated tissue. Incarcerations through visible natural openings in the abdominal wall or at the incision
sites of previous surgeries, are much easier to diagnose. In contrast, incarcerated internal hernias
with the same danger and risk to the patient are often much more difficult to diagnose preoperatively.
Often, computed tomography cannot confirm internal incarceration with complete certain-
ty (3). Such a diagnosis should be suspected especially in any patient who has had previous
abdominal surgery and it occurs in a state of intestinal obstruction or acute abdomen, with no
signs of pneumoperitoneum.
This case report describes a 73-years-old male with internal incarcerated hernia with small
intestine obstruction, who was found an opening – defect of the gastrocolic ligament in which
was herniated and strangulated part from the small intestine
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