caa a22 4500 463199634 CHVBK 20180405153108.0 cr unu---uuuuu 170326e20070501xx s 000 0 eng 10.1007/s00276-007-0212-6 doi (NATIONALLICENCE)springer-10.1007/s00276-007-0212-6 Internal hernias: anatomical basis and clinical relevance [Elektronische Daten] [O. Armstrong, A. Hamel, B. Grignon, J. Peltier, O. Hamel, E. Letessier, J. Le Neel, R. Robert, J. Rogez] The aim of this study was to present and discuss the anatomical basis of internal hernias thanks to our clinical experience of 14 cases. Internal hernias are uncommon cases of acute intestinal obstruction when a viscera protrudes through an intraperitoneal orifice, remaining inside the peritoneal cavity. It excludes iatrogenic post surgical hernias. From an anatomical point of view, three kinds of orifices may be interested. The orifice may be normal: epiploic or omental (Winslow's) foramen, or abnormal through a pathologic transomental hole realizing an internal prolapsus or procidentia, without sac. Or this orifice may be a paranormal peritoneal fossa (para duodenal or retrocaecal) acting as a trap for the bowel: these hernias possess a sac and are considered as true hernias. The clinical diagnosis is always difficult. CT scan can be useful confirming the obstruction and leads to an urgent operation. This retrospective study evaluates diagnosis, management and follow-up according to the type of anatomical orifice and delay of surgery. Springer-Verlag, 2007 Internal hernia nationallicence Peritoneal fossa nationallicence Epiploic foramen nationallicence Small bowel obstruction nationallicence Paraduodenal fossa nationallicence Retrocaecal fossa nationallicence Armstrong O. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut Hamel A. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut Grignon B. Laboratoire d'Anatomie Faculté de Médecine et Service de Radiologie CHU de Nancy, Nancy, France aut Peltier J. Laboratoire d'Anatomie Faculté de Médecine d'Amiens, Amiens, France aut Hamel O. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut Letessier E. Clinique de chirurgie digestive et endocrinienne Pr PA Lehur Hôtel Dieu CHU de Nantes, Nantes, France aut Le Neel J. Clinique de chirurgie digestive et endocrinienne Pr PA Lehur Hôtel Dieu CHU de Nantes, Nantes, France aut Robert R. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut Rogez J. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut Surgical and Radiologic Anatomy Springer-Verlag 29/4(2007-05-01), 333-337 0930-1038 29:4<333 2007 29 276 https://doi.org/10.1007/s00276-007-0212-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00276-007-0212-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Armstrong O. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut NATIONALLICENCE 700 1- Hamel A. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut NATIONALLICENCE 700 1- Grignon B. Laboratoire d'Anatomie Faculté de Médecine et Service de Radiologie CHU de Nancy, Nancy, France aut NATIONALLICENCE 700 1- Peltier J. Laboratoire d'Anatomie Faculté de Médecine d'Amiens, Amiens, France aut NATIONALLICENCE 700 1- Hamel O. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut NATIONALLICENCE 700 1- Letessier E. Clinique de chirurgie digestive et endocrinienne Pr PA Lehur Hôtel Dieu CHU de Nantes, Nantes, France aut NATIONALLICENCE 700 1- Le Neel J. Clinique de chirurgie digestive et endocrinienne Pr PA Lehur Hôtel Dieu CHU de Nantes, Nantes, France aut NATIONALLICENCE 700 1- Robert R. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut NATIONALLICENCE 700 1- Rogez J. Laboratoire d'Anatomie Pr JM Rogez Faculté de Médecine de Nantes, Nantes, France aut NATIONALLICENCE 773 0- Surgical and Radiologic Anatomy Springer-Verlag 29/4(2007-05-01), 333-337 0930-1038 29:4<333 2007 29 276 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer