Abstract
Hernias are very familiar to a core surgical trainee in the setting of clinics and the surgical assessment unit. By definition, a hernia is an abnormal protrusion of a viscus from one compartment to another. In clinic, they are visible lumps, exhibiting a cough reflex often with a well definable history making them readily identifiable. In the acute setting, they are the third commonest cause of small bowel obstruction in the developed world. Ventral and inguinal hernias account for the majority of these with only a small proportion due to internal hernias. This article aims to educate the core surgical trainee on the anatomy and distinguishing clinical features of these rare but important types of internal abdominal hernias.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ghahremani GG (1984) Internal abdominal hernias. Surg Clin N Am 64:393–406
Garza E, Kuhn J, Arnold D, Nicholson W, Reddy S, McCarty T (2004) Internal hernias after laparoscopic Roux-en-Y gastric bypass. Am J Surg 188:796–800
Martin LC, Elmar MM, Thompson WM (2006) Review of Internal hernias radiographic and clinical findings. Am J Roentgenol 186:703–717
Takeyama N, Gokan T, Ohgiya Y, Satoh S, Hashizume T, Hataya K, Kushiro H, Nakanishi M, Kusano M, Munechika H (2005) CT of internal hernias. Radiographics 25:997–1005
Lu HC, Wang J, Tsang YM, Tseng HS, Li YW (2002) Pericaecal hernia: a report of two cases and survey of the literature. Clin Radiol 57:855–858
Mathieu D, Luciani A (2004) Internal abdominal herniations. Am J Radiol 83:397–404
Orseck MJ, Ross PJ, Morrow CE (2000) Herniation of the hepatic flexure through the foramen of Winslow: a case report. Am J Surg 66:602–603
Renvall S, Niinikoski J (1999) Internal hernia after gastric operations. Eur J Surg 157:575–577
Blachar A, Federle MP, Dodson SF (2001) Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology 218:68–74
Takagi Y, Yasuda K, Nakada T, Abe T, Matsuura H, Saji S (1996) A case of strangulated transomental hernia diagnosed preoperatively. Am J Gastroenterol 91:1659–1660
Inoue Y, Nakamura H, Mizumoto S, Akashi H (1996) Lesser sac hernia through the gastrocolic ligament: CT diagnosis. Abdom Imag 21:145–147
Hull JD 3rd (1976) Transomental hernia. Am J Surg 42:278–284
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Salar, O., El-Sharkawy, A.M., Singh, R. et al. Internal hernias: a brief review. Hernia 17, 373–377 (2013). https://doi.org/10.1007/s10029-012-1023-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-012-1023-1