INTESTINAL OBSTRUCTION DUE TO RARE INTERNAL SUPRA-VESICAL HERNIA

Authors

  • Sadaf Khalid Department of General Surgery, Doctors Hospital, Lahore
  • Burhanul huq Department of General Surgery, Doctors Hospital, Lahore
  • Afsar Ali Bhatti Department of General Surgery, Doctors Hospital, Lahore

Abstract

Supravesical hernias are very rarely seen and reported as a possible cause of small bowel obstruction. The proper diagnosis of which is usually made intra-operatively as the preliminary diagnosis despite the availability of advanced radiological investigations which are not very helpful. There are two anatomical variants of supravesical hernias, of which internal one usually presents as small bowel obstruction. We present a case of 62 year old man, presented to us in emergency with three day history of absolute constipation, abdominal distention, and vomiting. On exploratory laparotomy, the terminal ileum loops were retrieved from the supra-vesical hernial defect by gentle traction and the defect was closed. Post-operative period remained uneventful. Supravesical hernias though very rare still can be a possible cause of small bowel obstruction. The diagnosis is usually made per operatively where the bowel loops are seen to be strangulated in the hernia defect.

Keywords: Supravesical hernia, intestinal obstruction, exploratory laparotomy

References

Pearce AE, Labove N. Internal supravesical hernia with possible relationship to previous saddle injury: report case with associated inguinal and femoral hernias. AMA Arc Surg 1954; 69(5):623-6.

Jan YT, Jeng KS, Liu YP, Yang FS: Internal supravesical hernia. Am J Surg 2008;196(4):e27-8

Saravanan B, Paramu MK, Ranganathan E: Supravesical hernia: a rare cause of intestinal obstruction. Int J Surg 2008;6(6):471-2.

Selcuk D, Kantarci F, Ogut G, Korman U: Radiological evaluation of internal abdominal hernias. Turk J Gastroenterol 2005;16(2):57-64.

PEARCE AE, LABOVE N. Internal supravesical hernia with possible relationship to previous saddle injury: report of case with associated inguinal and femoral hernias. AMA Arc Surg 1954; 69(5):623-6.

Koksoy FN, Soybir GR, Bulut TM, Yalcin O, Aker Y, Kose H. Internal supravesical hernia: report of a case. Am Surg 1995;61(11):1023-4.

Sozen I, Nobel J. Inguinal mass due to an external supravesical hernia and acute abdomen due to an internal supravesical hernia: a case report and review of the literature. Hernia 2004;8(4):389-92.

Abdullah TI, Pearson HJ. Strangulated internal supravesical hernia: a diagnostic problem. Eur J Surg 1997;163(11):875-6.

Tretbar LL, Gustafson GE. Internal supravesical hernia: a rare hernia causing small bowel obstruction. Am J Surg 1968;116(6):907-8.

Gullmo A. Herniography. The diagnosis of hernia in the groin and incompetence of the pouch of Douglas and pelvic floor. Acta Radiol Suppl 1980;361:1-76.

Sawyers JL, Stephenson SE Jr. Internal supravesical hernia: report of the first successful operative repair of the intravesical type. Surgery 1957;42(2):368-74.

Koksoy FN, Soybir GR, Bulut TM, Yalcin O, Aker Y, Kose H. Internal supravesical hernia: report of a case. Am Surg 1995;61(11):1023-4

Foreign body in urinary bladder

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Published

2015-06-20

How to Cite

Khalid, S., huq, B., & Bhatti, A. A. (2015). INTESTINAL OBSTRUCTION DUE TO RARE INTERNAL SUPRA-VESICAL HERNIA. Journal of Ayub Medical College Abbottabad, 27(2), 473–475. Retrieved from https://demo.ayubmed.edu.pk/index.php/jamc/article/view/48

Issue

Vol. 27 No. 2 (2015): Journal of Ayub Medical College, Abbottabad

Section

CASE REPORT

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