A Rare Case of Intestinal Obstruction from Internal Hernia through a Foramen Formed by Appendices Epiploicae â€“ A Case Report and Review of Literature

Thomas Olagboyega Olajide; Olanrewaju Balogun

doi:10.3889/oamjms.2020.3684

Authors

Thomas Olagboyega Olajide Department of Surgery, General Surgery Unit, College of Medicine, University of Lagos, Lagos University Teaching Hospital, Lagos, Nigeria
Olanrewaju Samuel Balogun Department of Surgery, General Surgery Unit, College of Medicine, University of Lagos, Lagos University Teaching Hospital, Lagos, Nigeria

DOI:

https://doi.org/10.3889/oamjms.2020.3684

Keywords:

Internal hernia, Intestinal obstruction, Appendices epiploicae

Abstract

BACKGROUND: Internal hernias are uncommon causes of acute abdomen and intestinal obstruction. Internal herniation due to appendices epiploicae is very rare with only six cases reported in the literature.
CASE REPORT: We, herein, present the report of a 64-year-old female who presented with features of intestinal obstruction due to internal herniation of a loop of small intestine through an orifice formed by the fusion of two appendices epiploicae. The band was divided into release the entrapped loop of bowel.
CONCLUSION: A high index of suspicion with prompt surgical intervention will improve outcome.

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References

Kulacoglu H, Tumer H, Aktimur R, Kusdemir A. Internal herniation with fatal outcome: Herniation through an unusual apertura between epiploic appendices and greater omentum. Acta Chir Belg. 2006;106(1):109-11. https://doi.org/10.1080/00 015458.2006.11679849 PMid: 16612930

Kar S, Mohapatra V, Rath PK. A rare type of primary internal hernia causing small intestinal obstruction. Case Rep Surg. 2016;2016:3540794. https://doi.org/10.1155/2016/3540794 PMid: 27999703

Lau JT, Ong GB. Bowel herniation through a defect in the appendices epiploicae. J R Coll Surg Edinb. 1984;29(3):187-8. http://dx.doi.org/10.1136/bmjgh-2019-001604 PMid: 6747927

Krijgsman B, Salter MC. Internal herniation through a colonic epiploica. Surgery. 1997;122(3):643. https://doi.org/10.1016/s0039-6060(97)90142-2 PMid: 9308627

Liu CH, Wang SY. Ileal herniation into a sigmoid colon epiploic fat foramen extrasigmoid hernia. Tech Coloproctol. 2004;8(2):106-8. https://doi.org/10.1007/s10151-004-0066-4 PMid: 15309648

Oneyama M, Sekikawa K, Goto M, Kitamura M, Ohta R, Takawashi Y. A case of ileus due to an internal hernia caused by a sigmoid colon epiploic appendix. J Jpn Surg Assoc. 2011;72(12):3175-9. https://doi.org/10.3919/jjsa.72.3175

Suzuki Y, Katagiri H, Yoshinaga Y, Lefor AT, Mizokami K. Internal hernia caused by epiploic appendices successfully treated by single-incision laparoscopic surgery (SILS). Hernia. 2015;19(6):1011-3. https://doi.org/10.1007/s10029-014-1231-y PMid: 24577739

Srivastava KN, Agarwal A, Roopesh D, Prashad R. An unusual case of intestinal obstruction due to internal herniation from adhesions between two appendices epiploicae. J Surg Case Rep. 2018;2018(9):rjy239. https://doi.org/10.1093/jscr/rjy239 PMid: 30220991