{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T13:04:50Z","timestamp":1784639090587,"version":"3.55.0"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Intestinal obstruction and necrosis are emergent and potentially lethal. They are rarely secondary to internal abdominal hernia, which refers to the protrusion of a visceral organ or tissue from its normal anatomical location into another compartment within the abdominal cavity through a congenital or acquired anatomical defect, such as a weakness, opening, or foramen. Its contents are predominantly composed of the stomach and intestinal loops. Internal abdominal hernia occurs suddenly, rapidly progresses, and frequently leads to secondary intestinal ischemia, as well as serious complications, such as intestinal strangulation and necrosis, with a high mortality. Therefore, it highlights the significance of early recognition and timely intervention for improving patient outcomes. In this paper, we reported a case of intestinal obstruction and necrosis secondary to internal abdominal hernia, which was successfully treated by surgery, in spite of a delayed diagnosis.<\/jats:p>","DOI":"10.3389\/fsurg.2026.1876453","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:44:31Z","timestamp":1784637871000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Intestinal necrosis secondary to internal abdominal hernia in a young female"],"prefix":"10.3389","volume":"13","author":[{"given":"Rui","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, General Hospital of Northern Theater Command","place":["Shenyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhang","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, General Hospital of Northern Theater Command","place":["Shenyang, China"]},{"name":"Postgraduate College, China Medical University","place":["Shenyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangrong","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Northern Theater Command","place":["Shenyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di","family":"Xin","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, General Hospital of Northern Theater Command","place":["Shenyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Northern Theater Command","place":["Shenyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingshun","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, General Hospital of Northern Theater Command","place":["Shenyang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1016\/0002-9610(86)90258-8","article-title":"Congenital and acquired internal hernias: unusual causes of small bowel obstruction","volume":"152","author":"Newsom","year":"1986","journal-title":"Am J Surg"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.17.0090","article-title":"Internal abdominal hernia","volume":"137","author":"Berle","year":"2017","journal-title":"Tidsskr Nor Laegeforen"},{"key":"B3","doi-asserted-by":"publisher","first-page":"397","DOI":"10.2214\/ajr.183.2.1830397","article-title":"Internal abdominal herniations","volume":"183","author":"Mathieu","year":"2004","journal-title":"AJR Am J Roentgenol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/j.jviscsurg.2019.02.003","article-title":"Internal hernia after omega loop gastric bypass: beware of ischemic stenosis of small intestine!","volume":"156","author":"Genser","year":"2019","journal-title":"J Visc Surg"},{"key":"B5","doi-asserted-by":"publisher","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":"B6","doi-asserted-by":"publisher","first-page":"2919","DOI":"10.1007\/s00268-022-06719-2","article-title":"Small bowel obstruction in patients without prior abdominal surgery: to operate or not?","volume":"46","author":"Blich","year":"2022","journal-title":"World J Surg"},{"key":"B7","first-page":"57","article-title":"Radiological evaluation of internal abdominal hernias","volume":"16","author":"Sel\u00e7uk","year":"2005","journal-title":"Turk J Gastroenterol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1007\/s00261-010-9627-3","article-title":"Internal hernias after abdominal surgeries: mDCT features","volume":"36","author":"Hongo","year":"2011","journal-title":"Abdom Imaging"},{"key":"B9","doi-asserted-by":"publisher","first-page":"997","DOI":"10.1148\/rg.254045035","article-title":"Ct of internal hernias","volume":"25","author":"Takeyama","year":"2005","journal-title":"Radiographics"},{"key":"B10","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1148\/radiology.218.1.r01ja5368","article-title":"Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria","volume":"218","author":"Blachar","year":"2001","journal-title":"Radiology"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.2214\/ajr.161.6.8249727","article-title":"Ct imaging of abdominal hernias","volume":"161","author":"Lee","year":"1993","journal-title":"AJR Am J Roentgenol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e1564","DOI":"10.1097\/MD.0000000000001564","article-title":"The combination of D-dimer and peritoneal irritation signs as a potential indicator to exclude the diagnosis of intestinal necrosis","volume":"94","author":"Yang","year":"2015","journal-title":"Medicine (Baltimore)"},{"key":"B13","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/0002-9610(83)90186-1","article-title":"Preoperative recognition of intestinal strangulation obstruction. Prospective evaluation of diagnostic capability","volume":"145","author":"Sarr","year":"1983","journal-title":"Am J Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1007\/s00268-003-6899-6","article-title":"Usefulness of known computed tomography and clinical criteria for diagnosing strangulation in small-bowel obstruction: analysis of true and false interpretation groups in computed tomography","volume":"28","author":"Kim","year":"2004","journal-title":"World J Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"765509","DOI":"10.3389\/fonc.2021.765509","article-title":"Risk factor and surgical outcome of Petersen's hernia after gastrectomy in gastric cancer","volume":"11","author":"Liu","year":"2021","journal-title":"Front Oncol"},{"key":"B16","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1007\/s10029-012-1023-1","article-title":"Internal hernias: a brief review","volume":"17","author":"Salar","year":"2013","journal-title":"Hernia"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1114","DOI":"10.14744\/tjtes.2023.36037","article-title":"Untangling diagnostic confusion in internal abdominal hernias","volume":"29","author":"Surel","year":"2023","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"B18","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1007\/s10029-024-03234-2","article-title":"Increased length of incarcerated small bowel as a risk factor for intestinal necrosis in obturator hernia","volume":"29","author":"Kiyasu","year":"2024","journal-title":"Hernia"},{"key":"B19","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1248\/bpb.34.71","article-title":"Individual metabolic capacity evaluation of cytochrome P450 2C19 by protein and activity in the small intestinal mucosa of Japanese pancreatoduodenectomy patients","volume":"34","author":"Hayashi","year":"2011","journal-title":"Biol Pharm Bull"},{"key":"B20","first-page":"20","article-title":"Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings","volume":"90","author":"Lanzetta","year":"2019","journal-title":"Acta Biomed"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1876453\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:44:35Z","timestamp":1784637875000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1876453\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,21]]},"references-count":20,"alternative-id":["10.3389\/fsurg.2026.1876453"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1876453","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,21]]},"article-number":"1876453"}}