Uncommon presentation of complicated internal hernia through the appendices epiploicae ring of adhesion: a clinical case study

Mohamed Said Ghali; Mona S Shehata; Mohammed Al Obahi; Raed M Al-Zoubi; Ahmad Zarour

doi:10.3389/fsurg.2023.1288369

Uncommon presentation of complicated internal hernia through the appendices epiploicae ring of adhesion: a clinical case study

Front Surg. 2024 Jan 15:10:1288369. doi: 10.3389/fsurg.2023.1288369. eCollection 2023.

Authors

Mohamed Said Ghali^{1

2}, Mona S Shehata³, Mohammed Al Obahi¹, Raed M Al-Zoubi^{4

5}, Ahmad Zarour^{1

6}

Affiliations

¹ Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar.
² Department of General Surgery, Ain Shams University, Cairo, Egypt.
³ Department of Pharmacy, Woman's Wellness and Research Center, Hamad Medical Corporation, Doha, Qatar.
⁴ Surgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
⁵ Department of Biomedical Sciences, QU-Health, College of Health Sciences, Qatar University, Doha, Qatar.
⁶ Department of Surgery, Cornell Medical College, Doha, Qatar.

Abstract

Background: Internal hernias are infrequent, yet serious, medical conditions with potentially severe consequences. An internal hernia resulting from an Appendices epiploicae (AE) ring is an especially rare cause, with a mere nine documented instances worldwide.

Case report: This report presents the case of a 58-year-old male who suffered from an internal hernia originating from an AE ring. The condition led to a gangrenous small bowel, which was treated by laparotomy and resection of the affected segment, followed by primary anastomosis. The post-operative recovery was favorable.

Conclusion: Internal hernias, although rare, warrant immediate attention and early intervention to preclude detrimental outcomes, as illustrated in this particular case.

Keywords: adhesion internal hernia; appendices epiploicae; falciform ligament; hernia; surgery.

Grants and funding

The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.