Internal Abdominal Hernia Accompanied by Intestinal Malrotation and Bezoar: A Rare Combination.

Authors

  • hang guo Department of Radiology, Yantai Laiyang Central Hospital, Yantai
  • lintao qu Department of Radiology, Yantai Laiyang Central Hospital, Yantai
  • yongyuan cheng Department of Radiology, Yantai Laiyang Central Hospital, Yantai

DOI:

https://doi.org/10.3941/jrcr.5887

Abstract

Internal abdominal hernia is a relatively rare type of acute abdomen that can cause small bowel obstruction; in severe cases, it can result in incarceration, intestinal necrosis, and ischemia, which can be life-threatening. Therefore,a timely diagnosis and prompt surgical treatment are of crucial importance. The causes of internal abdominal hernia are diverse. Complex causes sometimes create difficulties in diagnosis and treatment. Herein, we report a case of a patient with internal abdominal hernia accompanied by intestinal malrotation and a bezoar. A 50-year-old woman was admitted to our hospital with abdominal pain, bloating, and nausea for 3 days, a computed tomography (CT) scan revealed small bowel obstruction, abnormal colon position, and an intestinal bezoar. An emergency exploratory laparotomy was performed, with an uneventful recovery, the patient was discharged from the hospital 14 days after surgery.

50-year-old female with internal hernia- CT. FINDINGS: CT scan shows a left paraduodenal hernia. Neck of the hernia sac (thin arrow) with adjacent fluid-filled dilated small bowel, and a “whirlpool-sign” signifying rotation and traction of the mesenteric vessels (thick arrow). An oval-shaped bezoar of mixed density in the left upper quadrant of the abdomen (hollow arrow).

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Published

2025-12-19

Issue

Vol. 19 No. 12 (2025)

Section

Gastrointestinal Radiology

License

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