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Q: What is an Internal Hernia?
asked by: DoctorQuestion on September 9th, 2006
I had a gastric bypass in 2003 and about a year and a half ago starting experiencing occassional severe pain in left side of abdomen. Been through 2 ct scans which proved normal. I was told 3 days ago that it could possibly be an internal hernia. Can you please enlighten me as to what this is and if I have it operated on will it reoccur?
thanks.


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Dr. Nikola Gjuzelov , MD
replied on September 19th, 2006
Stomach, Ulcers, Gastric Bypass, Colon Disorders Answer A150
An internal abdominal hernia is a protrusion of an abdominal organ through a normal or abnormal mesenteric or peritoneal opening. Internal abdominal hernias can be acquired (due to trauma or surgical procedure) or constitutional (related to congenital peritoneal defects or abnormal embryologic development including small-bowel malrotation).


Symptoms of internal abdominal herniations are nonspecific, consisting of mild abdominal discomfort alternating with episodes of intense periumbilical pain and nausea. An internal hernia should be taken very seriously (as with any other hernia) because it can be complicated by incarceration. Incarceration indicates acute ischemia and necrosis (infarct) of the herniated organ (usually intestines). This manifests through severe abdominal pain. Intestinal infarction is a life threatening condition and is treated with immediate surgical intervention (laparotomy).


The diagnostic tool for detecting an internal hernia is the abdominal CT-scan. A CT-scan allows physicians to make a precise anatomical diagnoses and to identify acute complications. If diagnosis of an internal abdominal hernia is confirmed, a laparoscopy has to be performed to solve the problem.


You have to consult abdominal surgeon about further treatment.





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