Aim: Internal hernia is a very rare cause of acute small bowel obstruction and perforation which may be difficult to diagnose. We aimed to provide a retrospective study for management and evaluated patients who underwent surgery for perforation due to intestinal internal herniation in our department.
Material and Method: From January 2012 to April 2017, seven patients underwent surgery for a perforation due to intestinal internal herniation at our clinic. We retrospectively reviewed the patients’ records, imaging modalities and operative findings.
Results: There were two women and five men with a mean age 52.50 ± 11.22 years. All patients were admitted to our emergency surgery unit with the complaints of acute abdominal pain, distension and fever. All patients were urgently operated. The mean hospital stay was 5.50 ± 1.37 days. In the postoperative period, two patients had wound infection and postoperative mortalitiy was not observed.
Conclusion: Perforation due to internal hernia occur because of the delayed diagnosis of internal hernia. Unfortunately, they have bad outcomes. Usually rapidly progress to bowel ischemia once strangulated and have no definitive predictors. At surgery, complete closure of the potential defects that may predispose to internal hernia is essential for prevention. Especially in patients who had previous abdominal surgery, internal hernia should be kept in mind to prevent delay in diagnosis.