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Case Report
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| Internal hernias: Emergency department radiological dilemma | ||||||
| Cigdem Ozpolat1, Halil Ibrahim Atalay1, Sefer Ozkaya1, Musa Adanc1, Arzu Denizbasi1, Ozge Onur1, Serkan Emre Eroglu1, Haldun Akoglu1 | ||||||
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1MD, Marmara University Pendik Research and Training Hospital, Department of Emergency Medicine, Istanbul, Turkey.
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| How to cite this article |
| Ozpolat C, Atalay HI, Ozkaya S, Adanc M, Denizbasi A, Onur O, Eroglu SE, Akoglu H. Internal hernias: Emergency department radiological dilemma. Int J Case Rep Images 2015;6(2):111–114. |
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Abstract
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Introduction:
Internal abdominal hernias present a non-specific clinical presentation. Clinical diagnosis is often difficult so imaging studies. It plays an important role in the early diagnosis. Its diagnosis remains difficult even after the computed tomography (CT) scans disseminated accessibility and use. We present a case that was confirmed CT scan and treated with subsequent surgery.
Case Report: A 37-year-old female presented to the emergency department with diffuse abdominal pain, developing suddenly an hour ago. In her physical examination, there was diffuse tenderness, and rebound and guarding in right upper and lower quadrants. A CT scan of the abdomen and pelvis with intravenous contrast demonstrated dilatation and left migration of the loops of jejenum, migration of inferior mesenteric vein to the left, and free fluid in abdomen. In the operation, it was seen that ileum was herniated around cecum (paracecal hernia). Conclusion: Internal abdominal herniations are rare conditions. Clinical presentation may be non-specific, and diagnosis is difficult if it is not thought. But delayed diagnosis results in increased mortality and non-viable intestinal tissue. So emergency physicians should aware of this condition and radiological images for early surgery consultation. | |
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Keywords:
Internal herniation, Intestinal obstruction, Paracecal hernia, Radiological dilemma
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Author Contributions
Cigdem Ozpolat – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Halil Ibrahim Atalay – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Sefer Ozkaya – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Musa Adanc – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Arzu Denizbasi – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Ozge Onur – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Serkan Emre Eroglu – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Haldun Akoglu – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Cigdem Ozpolat et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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