E-ISSN 2231-170X | ISSN 2231-1696
Case Report | | |
A rare cause of internal herniation - Intermesocolic fossa of Brosike
N. V. N. Reddy, Sunil Koushik.  |  | | | Abstract Internal Hernias are defined as “The protrusion of viscera through a normal or abnormal opening within the boundaries of the peritoneal cavity” which account for 0.5 – 5.8% of small bowel obstructions while Autopsy incidence is 0.2% to 2%. Hernial defect may be congenital or acquired, the latter being the more common variety. Types: Paraduodenal (53%), Pericaecal (13%), Foramen of Winslow (8%), Intersigmoid (6%), Transmesenteric (8%), Retroanastomotic (1-4%), Supravescical and pelvic (6%). Para duodenal Hernias are the most common internal abdominal hernias accounting for half of reported cases. They are basically con-genital in origin representing entrapment of small intestine beneath the mesentery of colon probably occurring due to abnormal embryologic rotation of midgut and variation in peritoneal fixation and vascular folds. Among the paraduodenal hernias left sided hernias predominate, right being less common. We present one such rare case of a congenital, right paraduodenal hernia into the Intermesocolic fossa of Brosike. Key words: Hernia, Mesocolic fossa, Obstruction
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REFERENCES |
1. Meyers MA. Dynamic radiology of the abdomen: normal and pathologic anatomy, 4th ed. New York, NY: Springer Verlag, 1994 . [DOI via Crossref] | | 2. Zarvan NP, Lee FT Jr, Yandow DR, Unger JS. Abdominal hernias: CT findings. AJR 1995; 164:1391-1395. [DOI via Crossref] [Pubmed] | | 3. Shakelford's Surgery of the Alimentary Tract, 7th edition. | | 4. Skandalakis' Surgical Anatomy – The Embryologic and Anatomic Basis of Modern Surgery 2004. | | 5. Retroperitoneal hernia – B G A Moynihan : The Arris and Gale lectures; The Anatomy and Surgery of the Peritoneal Fossae. | |
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