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Research Article Open access CC BY 4.0

Intraoperative Diagnosis of Three Exceptional Cases of Internal Hernias during an Acute Intestinal Obstruction Pattern

Ettaoussi Abdelhak, Tijani Nissrine, Majd Abdessamad, Kamal Khadija, El Bakuri Abdelilah, Bouali Mounir, El hattabi Khalid

Asian Journal of Case Reports in Surgery · pp. 274–280 · Published 2 Jun 2025

10.9734/ajcrs/2025/v8i1636

Abstract

Internal hernias are rare, representing 0.5-5% of acute intestinal obstructionsi. The diagnosis is suggested in a subject with no surgical history presenting with an occlusive syndrome. We report 3 cases of internal hernias through the triangular ligament, the falciform ligament and the mesosigmoid in subjects between 60 and 75 years old responsible for ileal strangulation with reversible ischemia, discovered incidentally during surgery and whose treatment was the release of the intestinal contents and the flattening of the newly formed cavity.

Internal hernia intestinal obstruction triangular ligament of the liver falciform ligament intramesosigmoid internal hernia

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