Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

14 February 2020 : Case report  Qatar

Strangulated Internal Hernia through Appendicular Tourniquet/Ring: Unusual Cause of Intestinal Obstruction

Challenging differential diagnosis, Management of emergency care, Rare disease

Syed Muhammad Ali1ABCDEF*, Ibrahim Adnan Khalil2ABDEF, Shameel Musthafa1AEF, Amjad Ali Shah1CDE, Zia Aftab1ADEF, Saif Al-Mudares1ADF

DOI: 10.12659/AJCR.920384

Am J Case Rep 2020; 21:e920384

Abstract

BACKGROUND: Intestinal obstruction secondary to internal hernia is a rare phenomenon in adults particularly in patients with history of pulmonary tuberculosis, but commonly seen in pediatric population. Mostly it occurs along the duodenum in the paraduodenal recesses. The patient might be misdiagnosed as having obstruction secondary to strictures formed as a result of intestinal tuberculosis and pose delay in exploration.

CASE REPORT: We describe an adult patient who presented with intestinal obstruction by a tourniquet or ring formed between the tip of appendix and ileocecal junction through which small bowel herniated, strangulated and finally perforated before exploration, initially thought to be due to intestinal tuberculosis. He underwent exploratory laparotomy and was release of obstruction, appendectomy and resection of bowel. The patient tolerated the procedure well and discharged in stable condition.

CONCLUSIONS: Intestinal obstruction due to internal hernia is rare in adults. Computed tomography abdomen can diagnose the condition; however, exploration of the abdomen can give the definite diagnosis and tailor the appropriate therapy.

Keywords: Appendix, Intestinal Obstruction, Laparotomy, Appendectomy, Constriction, Pathologic, Hernia, herniorrhaphy, Ileum, young adult

Add Comment 0 Comments

In Press

Case report  China

Effective Acupuncture in Treating Decade-Long Occipital Neuralgia in an Elderly Patient

Am J Case Rep In Press; DOI: 10.12659/AJCR.945546  

Case report  United Kingdom

Necrobiotic Pulmonary Nodules in Ulcerative Colitis: A Rare Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.944005  

Case report  USA

Acute Heart Failure and Complete Heart Block in a Patient with Recurrent Diffuse Large B-Cell Lymphoma: A C...

Am J Case Rep In Press; DOI: 10.12659/AJCR.945085  

Case report  Indonesia

Successful Triple Flap Procedure for Thumb Reconstruction in Severe Hand Crush Injury

Am J Case Rep In Press; DOI: 10.12659/AJCR.945759  

Most Viewed Current Articles

21 Jun 2024 : Case report  China (mainland) 77,537

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 45,852

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

10 Jan 2022 : Case report  Germany 32,861

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

23 Feb 2022 : Case report  USA 21,213

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923