| Title | Internal hernia presenting as obstructive jaundice and acute pancreatitis. | | Author(s) | Joo YE, Kim HS, Choi SK, Rew JS, Kim HR, Cho CK, Kim SJ | | Institution | Dept of Internal Medicine, Chonnam National University Medical School, Kwangju, Korea. mareejb@netian.com | | Source | Scand J Gastroenterol 2002 Aug; 37(8):983-6. | | MeSH | Acute Disease
Cholestasis
Hernia, Ventral
Humans
Intestine, Small
Magnetic Resonance Imaging
Male
Middle Aged
Pancreatitis
Tomography, X-Ray Computed
| | Abstract | We report the first case of obstructive jaundice and acute pancreatitis caused by herniation of the small bowel through the foramen of Winslow in a 45-year-old man. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) revealed dilated small-bowel loops positioned in the gastrohepatic space, dilatation of the gallbladder and both intrahepatic bile ducts, and mild swelling of the pancreas. A small-bowel series revealed a cluster of small-bowel loops in the mid-upper abdomen, with displacement of the stomach to the left. At laparotomy, there was an internal herniation of jejunal loop through the defect of gastrocolic ligament into the lesser sac and finally passing through the foramen of Winslow. The common bile duct was compressed externally by the herniated bowel and the pancreas was mildly swollen. To the best of our knowledge, these complications of internal hernia have not been reported previously. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 12229977 |
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