Small bowel obstruction due to internal herniation through a defect in the falciform ligament: a rare case report and review of the literature

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dc.authoridEsmat, Habib Ahmad/0000-0001-5841-1601
dc.authorscopusid57219936784
dc.authorscopusid57221765796
dc.authorwosidEsmat, Habib Ahmad/ABC-4042-2021
dc.contributor.authorEsmat, Habib Ahmad
dc.contributor.authorNaseri, Mohammad Wali
dc.date.accessioned2023-01-12T20:05:04Z
dc.date.available2023-01-12T20:05:04Z
dc.date.issued2021
dc.departmentN/A/Departmenten_US
dc.description.abstractBackground: The falciform ligament hernia is a type of internal herniation, caused by a defect in the falciform ligament of the liver. The etiology for this defect may be congenital or iatrogenic, created after the laparoscopic intervention. Case presentation: A 45-year-old male was presented to our hospital, complaining of abdominal pain for 2 days. The physical examination revealed diffuse abdominal tenderness and guarding. The abdominal X-ray was suggestive of intestinal obstruction. On abdominal CT images, dilated proximal ileal loops between the left hepatic lobe and anterior abdominal wall, forming a closed-loop with mesenteric edema and fat stranding, were observed. There were findings of ileus in the jejunal loops proximal to this segment, but the ileal loops and the colon were completely collapsed, consistent with small bowel obstruction due to internal herniation through a defect in the falciform ligament. The patient underwent surgical intervention, reduction of the herniated bowel loops, and repairing the hernia defect. He had an uneventful recovery with a favorable outcome. Conclusion: Herniation through a defect in the falciform ligament is extremely rare but should be considered in the differential diagnosis of acute abdomen. The clinical manifestations of falciform ligament hernia are nonspecific and may underestimate the diagnosis, leading to a delayed treatment that affects the management outcome. Computed tomography plays an important role in the timely diagnosis and planning of surgical intervention, precluding intestinal strangulation.en_US
dc.identifier.doi10.1186/s43055-021-00537-7
dc.identifier.issn2090-4762
dc.identifier.issn2090-4762en_US
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85109399633en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1186/s43055-021-00537-7
dc.identifier.urihttps://hdl.handle.net/11454/77845
dc.identifier.volume52en_US
dc.identifier.wosWOS:000668517800001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEgyptian Journal Of Radiology And Nuclear Medicineen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSmall bowel obstructionen_US
dc.subjectInternal herniaen_US
dc.subjectFalciform ligamenten_US
dc.subjectCase reporten_US
dc.subjectIatrogenic Defecten_US
dc.titleSmall bowel obstruction due to internal herniation through a defect in the falciform ligament: a rare case report and review of the literatureen_US
dc.typeReviewen_US

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