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Mesentery, Omentum, Peritoneum: Internal Hernias and Abdominal Wall Hernias

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Abdominal Imaging

Abstract

Abdominal hernias are a common clinical problem. They are classified as internal hernias and external or abdominal wall hernias. Abdominal wall hernias involve protrusion of abdominal contents through a defect in the abdominal wall. In internal hernias, bowel or viscera protrude through a natural opening or a defect in the peritoneum or mesentery into a compartment within the abdominal cavity. Diaphragmatic hernias are a special subtype of hernia in which abdominal contents protrude into the thoracic cavity (Miller et al. 1995). Internal hernias (IH) may develop based on congenital anomalies of the peritoneum or mesentery or secondary to trauma, surgery, inflammation, or circulation disorders.

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References

  • Aguirre DA, Santosa AC, Casola G, Sirlin CB. Abdominal wall hernias: imaging features, complications and diagnostic pitfalls at multi-detector row CT. Radiographics. 2005;25:1501–20.

    Article  PubMed  Google Scholar 

  • Azar AR, Abraham C, Coulier B, Broze B. Ileocecal herniation through the foramen of Winslow: MDCT diagnosis. Abdom Imaging. 2012;35:574–7.

    Article  Google Scholar 

  • Bendavid R. Complications of groin hernia surgery. Surg Clin North Am. 1998;78:1089–113.

    Article  PubMed  CAS  Google Scholar 

  • Bjork KJ, Mucha Jr P, Cahill DR. Obturator hernia. Surg Gynecol Obstet. 1988;167(3):217–22.

    PubMed  CAS  Google Scholar 

  • Blachar A, Federle MP. Bowel obstruction following liver transplantation: clinical and CT findings in 48 cases with emphasis on internal hernia. Radiology. 2001;218:384–8.

    PubMed  CAS  Google Scholar 

  • Blachar A, Federle MP. Gastrointestinal complications of laparoscopic Roux-en-Y bypass surgery in patients who are morbidly obese: findings on radiography and CT. AJR. 2002;179:1437–42.

    Article  PubMed  Google Scholar 

  • Blachar A, Federle MP, Dodson SF. Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology. 2001;218:68–74.

    PubMed  CAS  Google Scholar 

  • Boudiaf M, Soyer P, Terem C, Pelage JP, Maissiat E, Rymer R. CT evaluation of small bowel obstruction. Radiographics. 2001;21:613–24.

    PubMed  CAS  Google Scholar 

  • Carucci LR, Turner MA, Shaylor SD. Internal hernia following Roux-en-Y gastric bypass surgery for morbid obesity: evaluation of radiographic findings at small bowel examination. Radiology. 2009;251:762–70.

    Article  PubMed  Google Scholar 

  • Chandler RC, Srinivas G, Chintapalli K, Schwesinger WH, Prasad SR. Imaging in bariatric surgery: a guide to postsurgical anatomy and common complications. AJR. 2008;190:122–35.

    Article  PubMed  Google Scholar 

  • Esposito TJ, Fedorak I. Traumatic lumbar hernia: case report and literature review. J Trauma. 1994;37:123–6.

    Article  PubMed  CAS  Google Scholar 

  • Gossios K, Zikou A, Vazakas P. Value of CT after laparoscopic repair of postsurgical ventral hernia. Abdom Imaging. 2003;28:99–102.

    Article  PubMed  CAS  Google Scholar 

  • Harrison AL, Keesling CA, Martin NL, Lee KR, Wetzel LH. Abdominal wall hernias: review of herniography and correlation with cross-sectional imaging. Radiographics. 1995;15:315–32.

    PubMed  CAS  Google Scholar 

  • Husain S, Ahmed A, Johnson J, Boss T, O’Malley W. Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass. Arch Surg. 2007;142:988–93.

    Article  PubMed  Google Scholar 

  • Jamadar DA, Jacobson JA, Morag Y, Girish G, Ebrahim F, Gest T, Franz M. Sonography of inguinal region hernias. AJR Am J Roentgenol. 2006;187(1):185–90.

    Article  PubMed  Google Scholar 

  • Katz DA. Evaluation and management of inguinal and umbilical hernias. Pediatr Ann. 2001;30(12):729–35.

    PubMed  CAS  Google Scholar 

  • Killeen K, Girard S, DeMeo JH, Shanmuganathan K, Mirvis SE. Using CT to diagnose traumatic lumbar hernia. AJR. 2000;174:1413–5.

    Article  PubMed  CAS  Google Scholar 

  • Lobo DN, Clarke DJ, Barlow AP. Obturator hernia: a new technique for repair. J R Coll Surg Edinb. 1998;43(1):433–4.

    Google Scholar 

  • Lockhart ME, Tessler FN, Canon CL, Smith JK, Larrison MC, Fineberg NS, Roy BP, Clemets RH. Internal hernia after gastric bypass: sensitivity and specificity of seven CT signs with surgical correlation and controls. AJR. 2007;188:745–50.

    Article  PubMed  Google Scholar 

  • Mantoo SK, Mak K, Tan TJ. Obturator hernia: diagnosis and treatment in the modern era. Singapore Med J. 2009;50(9):866.

    PubMed  CAS  Google Scholar 

  • Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR. 2006;186:703–17.

    Article  PubMed  Google Scholar 

  • Mathieu D, Luciani A. Internal abdominal herniations. AJR. 2004;183:397–404.

    Article  PubMed  Google Scholar 

  • Miller PA, Mezva DG, Feczko PJ, Jafri ZH, Madrazo BL. Imaging of abdominal hernias. Radiographics. 1995;15:333–47.

    PubMed  CAS  Google Scholar 

  • Newsom BD, Kukora JS. Congenital and acquired internal hernias: unusual causes of small bowel obstruction. Am J Surg. 1986;152(3):279–85.

    Article  PubMed  CAS  Google Scholar 

  • Pessaux P, Tuech JJ, Derouet N, Du Plessis R, Ronceray J, Arnaud JP. Internal hernia: a rare cause of internal obstruction: apropos of 14 cases. Ann Chir. 1999;53:870–3.

    PubMed  CAS  Google Scholar 

  • Rajeswaran G, Selvakumar S, King C. Internal herniation of the caecum into the lesser sac: an unusual cause of an acute abdomen. Eur Radiol. 2010;20:249–52.

    Article  PubMed  Google Scholar 

  • Reddy SA, Yang C, McGinnis LA, Seggerman RE, Garza E, Ford KL. Diagnosis of transmesocolic internal hernia as a complication of retrocolic gastric bypass: CT imaging criteria. AJR. 2007;189:52–5.

    Article  PubMed  Google Scholar 

  • Rettenbacher T, Hollerweger A, Macheiner P. Abdominal wall hernias: cross-sectional imaging signs of incarceration determined with sonography. AJR. 2001;177:1061–6.

    Article  PubMed  CAS  Google Scholar 

  • Sasaya T, Yamaguchi A, Isogai M, Harada T, Kaneoka Y, Suzuki M. Supravesical hernia: CT diagnosis. Abdom Imaging. 2001;26:89–91.

    Article  PubMed  CAS  Google Scholar 

  • Stamatiou D, Skandalakis LJ, Zoras O, Mirilas P. Obturator hernia revisited: surgical anatomy, embryology, diagnosis, and technique of repair. Am Surg. 2011;77(9):1147–57.

    PubMed  Google Scholar 

  • Takeyama NT, Gokan T, Ohgiya Y, Satoh S, Hashizume T, Hataya K, Kushiro H, Nakanishi M, Kusano M, Munechika H. CT of internal hernias. Radiographics. 2005;25:997–1015.

    Article  PubMed  Google Scholar 

  • van den Berg JC, de Valois JC, Go PM, Rosenbusch G. Dynamic magnetic resonance imaging in the diagnosis of groin hernia. Invest Radiol. 1997;32:644–7.

    Article  PubMed  Google Scholar 

  • Wechsler RJ, Kurtz AB, Needleman L. Cross-sectional imaging of abdominal wall hernias. AJR. 1989;153:517–21.

    Article  PubMed  CAS  Google Scholar 

  • Yu PC, Ko SF, Lee TY, Ng SH, Huang CC, Wan YL. Small bowel obstruction due to incarcerated sciatic hernia: ultrasound diagnosis. Br J Radiol. 2002;75:381–3.

    PubMed  Google Scholar 

  • Yu CY, Lin CC, Yu JC, Liu CH, Shyu RY, Chen CY. Strangulated transmesosigmoid hernia: CT diagnosis. Abdom Imaging. 2004;29:158–60.

    Article  PubMed  Google Scholar 

  • Zafar HM, Levine MS, Rubesin SE, Laufer I. Anterior abdominal wall hernias: findings in barium studies. Radiographics. 2006;26:691–9.

    Article  PubMed  Google Scholar 

  • Zarvan NP, Lee FT, Yandow DR, Unger JS. Abdominal hernias: CT findings. AJR. 1995;164:1391–5.

    Article  PubMed  CAS  Google Scholar 

  • Zissin R, Hertz M, Gayer G, Paran H, Osadchy A. Congenital internal hernia as a cause of small bowel obstruction: CT findings in 11 patients. Br J Radiol. 2005;78:796–802.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Luis Ros Mendoza .

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Ros Mendoza, L., Temel, T., Sukumar, S.A., Al-Tubaikh, J.A., Herrmann, K.A. (2013). Mesentery, Omentum, Peritoneum: Internal Hernias and Abdominal Wall Hernias. In: Hamm, B., Ros, P.R. (eds) Abdominal Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-13327-5_202

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  • DOI: https://doi.org/10.1007/978-3-642-13327-5_202

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-13326-8

  • Online ISBN: 978-3-642-13327-5

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