Right lateral paravesical internal hernia with small bowel obstruction

Case contributed by Dr Ammar Haouimi

Presentation

Symptoms of small bowel obstruction.

Patient Data

Age: 50 years
Gender: Male

Dilated, fluid-filled bowel loops (jejunal and proximal ileal loops) up to 3.2 cm. A sac-like cluster of distended small bowel loops with feces sign is noted in the right supa-and paravesical region, herniating through the supravesical fossa, and displacing the bladder to the left. Mild peritoneal effusion is seen.

Small umbilical hernia of epiploic content is noted.

Case Discussion

CT features of a right lateral paravesical internal hernia through the supravesical fossa with small bowel obstruction which was confirmed at surgery.

Paravesical internal hernias are an extremely rare form of internal hernias 2. Three categories are described anterior, right or left lateral, and posterior, depending on their position to the bladder 1.

Additional contributor: C. Boukaaba, MD

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Case information

rID: 71125
Published: 20th Sep 2019
Last edited: 24th Sep 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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