Muhammet Gündüz, Furkan Ufuk, Muhammet Raşid Aykota, Cihan Kaya

Nadir Bir İnce Barsak Obstrüksiyon Nedeni: Paraçekal İnternal Herni

İnternal herni, nadir görülen intestinal obstrüksiyon nedenidir. Hastalarda karın ağrısı, bulantı ve kusma gibi semptomlar bulunabilir. İnternal herni tanısı sıklıkla atlanmakta olup,yüksek mortalitesi nedeniyle intestinal obstrüksiyon bulgularıyla başvuran hastalarda internal herninin araştırılması, erken tanı ve tedavi büyük önem taşımaktadır. Biz buradaperiçekal internal hernisi bulunan bir olgu sunarak, bilgisayarlı tomografinin (BT) tanıdaki rolünü değerlendirdik.

Anahtar Kelimeler:

Bilgisayarlı Tomografi, İnternal herni, Barsak obstrüksiyonu

A Rare Case of Small Bowel Obstruction: Paracecal Internal Hernia

Internal hernia, is a rare cause of intestinal obstruction. Symptoms may include abdominal pain, nausea and vomiting. Since it has a high mortality rate and the diagnosis is oftenmissed, it is important to search for it in patients presenting with intestinal obstruction for prompt diagnosis and appropriate treatment. We present a case of pericecal internal herniaand report the utility of computed tomography (CT) in the diagnosis.

Keywords:

Computed Tomography, Internal hernia, Bowel Obstruction,

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Referans1 Doishita S, Takeshita T, Uchima Y, Kawasaki M, Shimono T, Yamashita A, Sugimoto M, Ninoi T, Shima H, Miki Y. Internal Hernias in the Era of Multidetector CT: Correlation of Imaging and Surgical Findings. Radiographics. 2016;36:88-106.
Referans2 Choi SH, Han JK, Kim SH. Intussusception in adults: from stomach to rectum. AJR Am J Roentgenol. 2004; 183: 691-8.
Referans3 Blachar A, Federle MP. Bowel obstruction following liver transplantation: clinical and CT fi ndings in 48 cases with emphasis on internal hernia. Radiology 2001; 218:384–8.
Referans4 Meyers MA. Dynamic radiology of the abdomen: normal and pathologic anatomy, 4th ed. New York, NY: Springer-Verlag, 1994; 519–47.
Referans5 Blachar A, Federle MP, Dodson SF. Internal hernia:clinical and imaging fi ndings in 17 patients with emphasis on CT criteria. Radiology 2001; 218:68–74.