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Posterior rectus sheath hernia causing intermittent small bowel obstruction.
J Radiol Case Rep. 2014 Sep; 8(9):25-9.JR

Abstract

A posterior rectus sheath hernia is an abdominal wall hernia that is rarely encountered. Owing to its rarity, it can be easily overlooked in the setting of a patient presenting with abdominal pain. We report a case of a posterior rectus sheath hernia that caused intermittent small bowel obstruction. The unusual aspects of this case are that the defect was large, measuring 6 cm in the transverse diameter, and that it contained small bowel within a large portion of the rectus sheath. Because the defect was large and affected nearly the entire posterior rectus sheath, it was difficult to discern on computed tomography until a small bowel obstruction developed. In this case, a limited awareness of this clinical entity contributed to the delay in diagnosis.

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Publisher Full Text
ncbi.nlm.nih.gov
doi.org
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Authors+Show Affiliations

Lenobel S
Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, USA.
Lenobel R
Professional Radiology Inc., Cincinnati, USA.
Yu J
Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, USA.

MeSH

Abdominal PainDiagnosis, DifferentialFemaleHernia, VentralHumansIntestinal ObstructionIntestine, SmallMiddle AgedTomography, X-Ray Computed

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25426248

Citation

Lenobel, Scott, et al. "Posterior Rectus Sheath Hernia Causing Intermittent Small Bowel Obstruction." Journal of Radiology Case Reports, vol. 8, no. 9, 2014, pp. 25-9.
Lenobel S, Lenobel R, Yu J. Posterior rectus sheath hernia causing intermittent small bowel obstruction. J Radiol Case Rep. 2014;8(9):25-9.
Lenobel, S., Lenobel, R., & Yu, J. (2014). Posterior rectus sheath hernia causing intermittent small bowel obstruction. Journal of Radiology Case Reports, 8(9), 25-9. https://doi.org/10.3941/jrcr.v8i9.2081
Lenobel S, Lenobel R, Yu J. Posterior Rectus Sheath Hernia Causing Intermittent Small Bowel Obstruction. J Radiol Case Rep. 2014;8(9):25-9. PubMed PMID: 25426248.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posterior rectus sheath hernia causing intermittent small bowel obstruction. AU - Lenobel,Scott, AU - Lenobel,Robert, AU - Yu,Joseph, Y1 - 2014/09/30/ PY - 2014/11/27/entrez PY - 2014/11/27/pubmed PY - 2015/7/15/medline KW - CT KW - abdomen KW - abdominal pain KW - hernia KW - rectus sheath KW - small bowel obstruction SP - 25 EP - 9 JF - Journal of radiology case reports JO - J Radiol Case Rep VL - 8 IS - 9 N2 - A posterior rectus sheath hernia is an abdominal wall hernia that is rarely encountered. Owing to its rarity, it can be easily overlooked in the setting of a patient presenting with abdominal pain. We report a case of a posterior rectus sheath hernia that caused intermittent small bowel obstruction. The unusual aspects of this case are that the defect was large, measuring 6 cm in the transverse diameter, and that it contained small bowel within a large portion of the rectus sheath. Because the defect was large and affected nearly the entire posterior rectus sheath, it was difficult to discern on computed tomography until a small bowel obstruction developed. In this case, a limited awareness of this clinical entity contributed to the delay in diagnosis. SN - 1943-0922 UR - https://www.unboundmedicine.com/medline/citation/25426248/Posterior_rectus_sheath_hernia_causing_intermittent_small_bowel_obstruction_ L2 - https://doi.org/10.3941/jrcr.v8i9.2081 DB - PRIME DP - Unbound Medicine ER -