Internal Hernia through a Defect in Hepatogastric Ligament - A Rare Case Report

Dr. Dhaval Kansagara, Dr. Bhavesh V. Vaishnani

Abstract: Internal hernias, including paraduodenal (traditionally the most common), pericecal, foramen of Winslow, and intersigmoid hernias, account for approximately 0.5?5.8% of all cases of intestinal obstruction and are associated with a high mortality rate, exceeding 50% in some series. To complicate matters, the incidence of internal hernias is increasing because of a number of relatively new surgical procedures now being performed, including liver transplantation and gastric bypass surgery. A significant increase in hernias is occurring in patients undergoing transmesenteric, transmesocolic, and retroanastomotic surgical procedures.

Keywords: Hernia, hepatogastric ligament, intestinal obstruction