Case Report
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Gebelikte Nadir Bir Akut Batın Nedeni: İnternal Herniasyon

Year 2020, Volume: 22 Issue: 1, 63 - 66, 30.04.2020

Ülkü Mete Ural Funda Dağıstanlı

https://doi.org/10.18678/dtfd.666694

Abstract

İnternal herniasyon, intestinal obstrüksiyonunun nadir görülen nedenlerinden biridir. İntestinal obstrüksiyona en sık yol açan nedenler; adeziv bantlar, volvulus ve invajinasyondur. Klinikte sıklıkla görülen klasik triadı, kolik tarzında karın ağrısı, bulantı/kusma ve gaz gayta deşarjının olmamasıdır. Klinik bulguların hepsinin birlikte görülmeyebilmesi, bulguların obstetrik ağrılar ile karışabilmesi ve radyolojik tanı yöntemlerinin uygulanmasına bağlı oluşabilecek olası fetal yan etkiler nedeniyle gebelikte internal herniasyon tanısının konulması oldukça zordur. Yüksek maternal ve fetal mortalite riski nedeniyle erken tanı konulması ve cerrahi müdahale gerekli ise vakit kaybetmeden uygulanması önemlidir. Akut batın ön tanısı ile başvuran tüm gebelerde, intestinal obstrüksiyon ve bu klinik tabloya neden olabilecek internal herniasyon tanısı akılda tutulmalıdır

Keywords

gebelik intestinal obstrüksiyon internal herniasyon

References

  • Mathieu D, Luciani A, GERMAD Group. Internal abdominal herniations. AJR Am J Roentgenol. 2004;183(2):397-404.
  • Lanzetta MM, Masserelli A, Addeo G, Cozzi D, Maggialetti N, Danti G, et al. Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings. Acta Biomed. 2019;90(5-S):20-37.
  • Lan Cheong Wah D, Tam A, Sarkar A. Internal hernia as a rare cause of ischaemic colitis: a case report and literature review. ANZ J Surg. 2019;89(5):608-9.
  • Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 2006;186(3):703-17.
  • Schizas D, Apostolou K, Krivan S, Kanavidis P, Katsaros I, Vailas M, et al. Paraduodenal hernias: a systematic review of the literature. Hernia. 2019;23(6):1187-97.
  • Dave DM, Clarke KO, Manicone JA, Kopelan AM, Saber AA. Internal hernias in pregnant females with Roux-en-Y gastric bypass: a systematic review. Surg Obes Relat Dis. 2019;15(9):1633-40.
  • Valentini V, Buquicchio GL, Galluzzo M, Ianniello S, Di Grezia G, Ambrosio R, et al. Intussusception in Adults: The role of MDCT in the identification of the site and cause of obstruction. Gastroenterol Res Pract. 2016;2016:5623718.
  • Pothiawala S, Gogna A. Early diagnosis of bowel obstruction and strangulation by computed tomography in emergency department. World J Emerg Med. 2012;3(3):227-31.
  • Doishita S, Takeshita T, Uchima Y, Kawasaki M, Shimono T, Yamashita A, et al. Internal hernias in the era of multidetector CT: Correlation of imaging and surgical findings. Radiographics. 2016;36(1):88-106.
  • Di Saverio S, Coccolini F, Galati M, Smerieri N, Biffl WL, Ansaloni L, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg. 2013;8(1):42.
  • Yao S, Tanaka E, Ikeda A, Murakami T, Okumoto T, Harada T. Outcomes of laparoscopic management of acute small bowel obstruction: a 7-year experience of 110 consecutive cases with various etiologies. Surg Today. 2017;47(4):432-9.

A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation

Year 2020, Volume: 22 Issue: 1, 63 - 66, 30.04.2020

Ülkü Mete Ural Funda Dağıstanlı

https://doi.org/10.18678/dtfd.666694

Abstract

Internal herniation is one of the rare causes of intestinal obstruction. The most common causes of intestinal obstruction are adhesive bridges, volvulus, and invagination. The classic triad frequently seen in the clinic includes colic type abdominal pain, nausea/vomiting and absences of gas passage and defecation. It is very difficult to diagnose internal herniation during pregnancy due to the inability to see all clinical findings together, to confuse the findings with obstetric pain, and to the possible fetal side effects due to the application of radiological diagnostic methods. Because of high maternal and fetal mortality risk, it is important to make an early diagnosis and perform surgical intervention without any delay if necessary. In all pregnant women presenting with a diagnosis of acute abdomen, intestinal obstruction and the possibility of the internal herniation that may cause this clinical picture should be kept in mind

Keywords

Pregnancy intestinal obstruction internal herniation

References

  • Mathieu D, Luciani A, GERMAD Group. Internal abdominal herniations. AJR Am J Roentgenol. 2004;183(2):397-404.
  • Lanzetta MM, Masserelli A, Addeo G, Cozzi D, Maggialetti N, Danti G, et al. Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings. Acta Biomed. 2019;90(5-S):20-37.
  • Lan Cheong Wah D, Tam A, Sarkar A. Internal hernia as a rare cause of ischaemic colitis: a case report and literature review. ANZ J Surg. 2019;89(5):608-9.
  • Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 2006;186(3):703-17.
  • Schizas D, Apostolou K, Krivan S, Kanavidis P, Katsaros I, Vailas M, et al. Paraduodenal hernias: a systematic review of the literature. Hernia. 2019;23(6):1187-97.
  • Dave DM, Clarke KO, Manicone JA, Kopelan AM, Saber AA. Internal hernias in pregnant females with Roux-en-Y gastric bypass: a systematic review. Surg Obes Relat Dis. 2019;15(9):1633-40.
  • Valentini V, Buquicchio GL, Galluzzo M, Ianniello S, Di Grezia G, Ambrosio R, et al. Intussusception in Adults: The role of MDCT in the identification of the site and cause of obstruction. Gastroenterol Res Pract. 2016;2016:5623718.
  • Pothiawala S, Gogna A. Early diagnosis of bowel obstruction and strangulation by computed tomography in emergency department. World J Emerg Med. 2012;3(3):227-31.
  • Doishita S, Takeshita T, Uchima Y, Kawasaki M, Shimono T, Yamashita A, et al. Internal hernias in the era of multidetector CT: Correlation of imaging and surgical findings. Radiographics. 2016;36(1):88-106.
  • Di Saverio S, Coccolini F, Galati M, Smerieri N, Biffl WL, Ansaloni L, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg. 2013;8(1):42.
  • Yao S, Tanaka E, Ikeda A, Murakami T, Okumoto T, Harada T. Outcomes of laparoscopic management of acute small bowel obstruction: a 7-year experience of 110 consecutive cases with various etiologies. Surg Today. 2017;47(4):432-9.
There are 11 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Ülkü Mete Ural 0000-0001-6163-6756

Funda Dağıstanlı 0000-0002-9915-8937

Publication Date April 30, 2020
Submission Date December 28, 2019
Published in Issue Year 2020 Volume: 22 Issue: 1

Cite

APA Mete Ural, Ü., & Dağıstanlı, F. (2020). A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Duzce Medical Journal, 22(1), 63-66. https://doi.org/10.18678/dtfd.666694
AMA Mete Ural Ü, Dağıstanlı F. A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Duzce Med J. April 2020;22(1):63-66. doi:10.18678/dtfd.666694
Chicago Mete Ural, Ülkü, and Funda Dağıstanlı. “A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation”. Duzce Medical Journal 22, no. 1 (April 2020): 63-66. https://doi.org/10.18678/dtfd.666694.
EndNote Mete Ural Ü, Dağıstanlı F (April 1, 2020) A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Duzce Medical Journal 22 1 63–66.
IEEE Ü. Mete Ural and F. Dağıstanlı, “A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation”, Duzce Med J, vol. 22, no. 1, pp. 63–66, 2020, doi: 10.18678/dtfd.666694.
ISNAD Mete Ural, Ülkü - Dağıstanlı, Funda. “A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation”. Duzce Medical Journal 22/1 (April 2020), 63-66. https://doi.org/10.18678/dtfd.666694.
JAMA Mete Ural Ü, Dağıstanlı F. A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Duzce Med J. 2020;22:63–66.
MLA Mete Ural, Ülkü and Funda Dağıstanlı. “A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation”. Duzce Medical Journal, vol. 22, no. 1, 2020, pp. 63-66, doi:10.18678/dtfd.666694.
Vancouver Mete Ural Ü, Dağıstanlı F. A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Duzce Med J. 2020;22(1):63-6.
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