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Internal supravesical hernia as a rare cauase of intestinal obstruction: a case report

INTRODUCTION: Supravesical hernias develop at the supravesical fossa between the remnants of the urachus and the left or right umbilical artery. They are often the cause of intestinal obstruction. We describe the anatomical variant of the supravesical hernia in this case and discuss the pre-operativ...

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Autores principales: Cissé, Mamadou, Konaté, Ibrahima, Ka, Ousmane, Dieng, Madieng, Dia, Abdarahmane, Touré, Cheikh T
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803853/
https://www.ncbi.nlm.nih.gov/pubmed/20062759
http://dx.doi.org/10.1186/1752-1947-3-9333
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author Cissé, Mamadou
Konaté, Ibrahima
Ka, Ousmane
Dieng, Madieng
Dia, Abdarahmane
Touré, Cheikh T
author_facet Cissé, Mamadou
Konaté, Ibrahima
Ka, Ousmane
Dieng, Madieng
Dia, Abdarahmane
Touré, Cheikh T
author_sort Cissé, Mamadou
collection PubMed
description INTRODUCTION: Supravesical hernias develop at the supravesical fossa between the remnants of the urachus and the left or right umbilical artery. They are often the cause of intestinal obstruction. We describe the anatomical variant of the supravesical hernia in this case and discuss the pre-operative findings revealed by computed tomography. We discuss diagnostic and therapeutic procedures, and review other anatomical variants. CASE PRESENTATION: A 60-year-old Senegalese man was admitted with a two-day history of small bowel obstruction. A physical examination showed abdominal distension. An abdominal X-ray revealed dilated small bowel loops. A computed tomography scan showed an image at the left iliac fossa that suggested an intussusception. A median laparotomy showed a left lateral internal supravesical hernia. The hernia was reduced and the defect was closed. The patient recovered uneventfully. CONCLUSIONS: Supravesical hernia is a possible cause of intestinal obstruction and diagnosis is very often made intraoperatively. Morphological examinations, such as computed tomography scanning, can lead to a preoperative diagnosis. Laparoscopy may be useful for diagnosis and therapy.
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spelling pubmed-28038532010-01-10 Internal supravesical hernia as a rare cauase of intestinal obstruction: a case report Cissé, Mamadou Konaté, Ibrahima Ka, Ousmane Dieng, Madieng Dia, Abdarahmane Touré, Cheikh T J Med Case Reports Case report INTRODUCTION: Supravesical hernias develop at the supravesical fossa between the remnants of the urachus and the left or right umbilical artery. They are often the cause of intestinal obstruction. We describe the anatomical variant of the supravesical hernia in this case and discuss the pre-operative findings revealed by computed tomography. We discuss diagnostic and therapeutic procedures, and review other anatomical variants. CASE PRESENTATION: A 60-year-old Senegalese man was admitted with a two-day history of small bowel obstruction. A physical examination showed abdominal distension. An abdominal X-ray revealed dilated small bowel loops. A computed tomography scan showed an image at the left iliac fossa that suggested an intussusception. A median laparotomy showed a left lateral internal supravesical hernia. The hernia was reduced and the defect was closed. The patient recovered uneventfully. CONCLUSIONS: Supravesical hernia is a possible cause of intestinal obstruction and diagnosis is very often made intraoperatively. Morphological examinations, such as computed tomography scanning, can lead to a preoperative diagnosis. Laparoscopy may be useful for diagnosis and therapy. BioMed Central 2009-12-16 /pmc/articles/PMC2803853/ /pubmed/20062759 http://dx.doi.org/10.1186/1752-1947-3-9333 Text en Copyright ©2009 Cissé et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Cissé, Mamadou
Konaté, Ibrahima
Ka, Ousmane
Dieng, Madieng
Dia, Abdarahmane
Touré, Cheikh T
Internal supravesical hernia as a rare cauase of intestinal obstruction: a case report
title Internal supravesical hernia as a rare cauase of intestinal obstruction: a case report
title_full Internal supravesical hernia as a rare cauase of intestinal obstruction: a case report
title_fullStr Internal supravesical hernia as a rare cauase of intestinal obstruction: a case report
title_full_unstemmed Internal supravesical hernia as a rare cauase of intestinal obstruction: a case report
title_short Internal supravesical hernia as a rare cauase of intestinal obstruction: a case report
title_sort internal supravesical hernia as a rare cauase of intestinal obstruction: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803853/
https://www.ncbi.nlm.nih.gov/pubmed/20062759
http://dx.doi.org/10.1186/1752-1947-3-9333
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