Interparietal Herniation: A Rare Cause of Intestinal Obstruction

Abstract

An interparietal hernia is a rare form of hernia seen in the inguinal region. Its pathogenesis is not well understood. It frequently causes intestinal obstruction. We presented a case of interparietal herniation, who presented with acute symptoms and signs of intestinal obstruction. The male patient was referred to our department with acute signs of intestinal obstruction for three days. His physical examination revealed acute abdomen and intestinal obstruction. The ultrasound and computed tomography depicted an intra-abdominal mass of unknown origin. At operation, a loop of ileum was found incarcerated in an interparietal hernia. Reduction, resection and anastomosing of the segment were facilitated. The preperitoneal type of defect was closed with sutures. Interparietal hernias are rare, and represent a problem in the differential diagnosis of conditions functional in the inguinal region. It is more frequent in the males, and mostly presents with intestinal obstruction. Preoperative diagnosis of obstructing interparietal hernia is difficult. Once considered, its diagnosis and treatment is straightforward.




J Med Cases. 2010;1(2):58-60
doi: https://doi.org/10.4021/jmc38w