INTERNAL INCARCERATION OF THE SMALL INTESTINE

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