Internal Hernia

Internal hernia is protrusion of bowel through an intra-abdominal defect (paraduodenal fossa, mesenteric defect, epiploic foramen, postoperative), causing intermittent/acute intestinal obstruction, high strangulation risk. Treatment: emergency surgical exploration (laparoscopic/open); NPO/IV fluids/electrolytes; reduce hernia; bowel resection if ischemic/necrotic; close defect; antibiotics if compromised; ICU monitoring; imaging (CT) pre-op; follow-up.

Common Symptoms

Intermittent/acute intestinal obstruction; by paraduodenal/mesenteric/postoperative

Causes and Pathogenesis

Congenital/postoperative defect allows internal bowel herniation and obstruction.

Treatment

Emergency surgery; bowel resection if necrotic; close defect; ICU

Preventive Measures

Careful postoperative closure; early recognition of obstruction.

Department to Visit

It is recommended to visit the Gastrointestinal-surgery/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.