{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:41:43Z","timestamp":1768434103932,"version":"3.49.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T00:00:00Z","timestamp":1550620800000},"content-version":"vor","delay-in-days":50,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n Intestinal obstruction ascribed to internal hernia is quite rare, especially in adults. There are no differentiating features in the presentation of intestinal obstruction due to internal hernia as compared to other causes. Delay in the diagnosis of this condition carries a considerable risk especially in a virgin abdomen. We report a rare case of internal hernia which presented as acute small and large bowel obstruction.<\/jats:p>\n <\/jats:sec>\n \n Presented case:<\/jats:title>\n We report a 47- year- old male with generalized abdominal pain associated with vomiting and obstipation. The patient was in hypovolemic shock that only had a transient response to resuscitation. CT scans of the abdomen with contrast was done and showed both large and small bowel obstruction. Exploration laparotomy was done and revealed a concurrent nonviable portion of ileum and twisted sigmoid colon (volvulus) which protruded through a congenital transmesentric defect. Resection was mandatory, and repair of the defect was done.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n Incidence of internal hernia generally does not exceed 1%. The diagnosis of congenital internal hernia relies on absence history of trauma, inflammatory process and abdominal surgery. Protrusion of simultaneous small and large bowels together through transmesenteric congenital gate is uncommon.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Whether the patient presenting with intestinal obstruction has a history of undergoing previous surgeries (for any reason) or not, the diagnosis of internal hernia must be kept in mind. Coexisting involvement of both small and large bowels that need resection poses the question of the need for restoration of bowel continuity with either colostomy or ileostomy.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2019.02.023","type":"journal-article","created":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T12:35:32Z","timestamp":1551270932000},"page":"28-32","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Simultaneous small and large bowel obstruction as a consequence of internal hernia"],"prefix":"10.1097","volume":"57","author":[{"given":"Malek A.","family":"Al- Omari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad A.","family":"Al-doud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-8-20260114","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1007\/s12262-012-0506-8","article-title":"Congenital internal hernia a rare cause of acute intestinal obstruction","volume":"75","author":"Padhy","year":"2013","journal-title":"Indian J. Surg"},{"key":"R2-8-20260114","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1148\/rg.254045035","article-title":"CT of internal hernias","volume":"25","author":"Takeyama","year":"2005","journal-title":"Radiographics"},{"key":"R3-8-20260114","doi-asserted-by":"crossref","first-page":"703","DOI":"10.2214\/AJR.05.0644","article-title":"Review of internal hernias: radiographic and clinical findings","volume":"186","author":"Martin","year":"2006","journal-title":"AJR Am. J. Roentgenol"},{"key":"R5-8-20260114","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4103\/0189-6725.78934","article-title":"Small bowel obstruction caused by congenital transmesenteric defect","volume":"8","author":"Nouira","year":"2011","journal-title":"Afr. J. Paediatr. Surg"},{"key":"R6-8-20260114","doi-asserted-by":"crossref","first-page":"rjy318","DOI":"10.1093\/jscr\/rjy318","article-title":"Transmesenteric hernia with two mesenteric defects in an adult","volume":"2018","author":"Cao","year":"2018","journal-title":"J. Surg. Case Rep"},{"key":"R7-8-20260114","first-page":"3540794","article-title":"A rare type of primary internal hernia causing small intestinal obstruction","volume":"2016","author":"Kar","year":"2016","journal-title":"Case Rep. Surg"},{"key":"R9-8-20260114","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.ijscr.2014.01.013","article-title":"Internal abdominal hernia: intestinal obstruction due to trans-mesenteric hernia containing transverse colon","volume":"5","author":"Crisp\u00edn-Trebejo","year":"2014","journal-title":"Int. J. Surg. Case Rep"},{"key":"R10-8-20260114","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.surg.2004.07.008","article-title":"Internal herniation concurrent with ileosigmoid knotting or sigmoid volvulus: presentation of 12 patients","volume":"137","author":"Alver","year":"2005","journal-title":"Surgery"},{"key":"R11-8-20260114","doi-asserted-by":"crossref","first-page":"427","DOI":"10.18203\/2349-2902.isj20164485","article-title":"Internal hernia - a rare cause of small bowel obstruction: a case report","volume":"4","author":"Rambhia","year":"2016","journal-title":"Int. Surg. J"},{"key":"R12-8-20260114","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s11605-007-0086-2","article-title":"Internal hernias: clinical findings, management, and outcomes in 49 nonbariatric cases","volume":"11","author":"Ghiassi","year":"2007","journal-title":"J. Gastrointest. Surg"},{"key":"R13-8-20260114","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.ijscr.2016.06.016","article-title":"Internal hernia through a congenital peritoneal defect in the vesico-uterine space","volume":"25","author":"Mou","year":"2016","journal-title":"Int. J. Surg. Case Rep"},{"key":"R14-8-20260114","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1007\/s10029-009-0600-4","article-title":"Congenital transmesenteric defect causing bowel strangulation in an adult","volume":"14","author":"Gyedu","year":"2010","journal-title":"Hernia"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261219300835?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261219300835?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201957000-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:18:11Z","timestamp":1768396691000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201957000-00008"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2019.02.023","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}