Volume 9, Issue 1 (2024)                   SJMR 2024, 9(1): 34-41 | Back to browse issues page

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Azizi A, Nateghi M R. Incarcerated Hernia in Falciform Ligament: A Case Report. SJMR 2024; 9 (1) : 6
URL: http://saremjrm.com/article-1-341-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
Abstract:   (1079 Views)
Introduction: Internal hernia is the protrusion of the abdominal viscera through the peritoneal or mesenteric opening, which remains within the boundaries of the abdominal cavity. Falciform ligament hernia is a rare type of internal hernia that occurs through an abnormal opening in the falciform ligament of the liver and accounts for 0.2% of all internal hernias. Presentation of signs and symptoms can often be nonspecific, with most case reports presenting with acute onset abdominal pain and signs suggestive of obstruction. Therefore, the aim of this study was the incarcerated abdominal hernia in the falciform ligament as a case report.
Case Introduction: A 32-year-old woman referred to the emergency department of Sarem Hospital in Tehran due to acute abdominal pain, nausea and slight dizziness. After observing the sonography by the emergency doctor and performing relevant examinations and diagnosing umbilical hernia, he was referred to the general surgeon of the hospital for consultation. After telephone consultation with him, the patient was hospitalized for surgery. After being hospitalized and transferred to the operating room under general anesthesia, he underwent surgery. Finally, after a successful operation, the patient was transferred to the recovery room in a good condition and then discharged.
Conclusion: Presentation of signs and symptoms can often be non-specific. In most of the case reports, the patient comes to medical centers with the acute onset of abdominal pain and symptoms indicating obstruction. Nevertheless, timely and accurate management will be very important in preventing complications and mortality in these patients.

 
Article number: 6
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Article Type: Original Research | Subject: Health and safety
Received: 2024/05/19 | Accepted: 2024/06/4 | Published: 2025/01/2

References
1. Peter, R., et al., Rare case of obturator hernia in a patient with Marfan's syndrome. Hernia, 2014. 18(3): 439-442. [DOI:10.1007/s10029-014-1216-x] [PMID]
2. Killeen, S., et al., Small bowel obstruction secondary to right obturator hernia. Surgery, 2015. 157(1): 168. [DOI:10.1016/j.surg.2013.05.032] [PMID]
3. Chan, K., et al., Surgical morbidity and mortality in obturator hernia: a 10-year retrospective risk factor evaluation. Hernia, 2014. 18: 387-392. [DOI:10.1007/s10029-013-1169-5] [PMID]
4. Ng, D., et al., Fifteen-year experience in managing obturator hernia: from open to laparoscopic approach. Hernia, 2014. 18: 381-386. [DOI:10.1007/s10029-013-1080-0] [PMID]
5. Sawayama, H., et al., Safety of polypropylene mesh for incarcerated groin and obturator hernias: a retrospective study of 110 patients. Hernia, 2014. 18: 399-406. [DOI:10.1007/s10029-013-1058-y] [PMID]
6. Wiseman, S., Internal herniation through a defect in the falciform ligament: a case report and review of the world literature. Hernia, 2000. 4(2): 117-120. [DOI:10.1007/BF02353760]
7. Dusu, K., S. Dindyal, and V. Gadhvi, Small bowel obstruction via herniation through an iatrogenic defect of the falciform ligament following laparoscopic cholecystectomy. The Annals of The Royal College of Surgeons of England, 2015. 97(6): e93-e95. [DOI:10.1308/rcsann.2015.0022] [PMID] []
8. Sá, N., et al., Rare case of incarcerated obturator hernia: case report and review of literature. International journal of surgery case reports, 2017. 37: 157-160. [DOI:10.1016/j.ijscr.2017.06.024] [PMID] []
9. Meyers, M.A., Dynamic radiology of the abdomen: normal and pathologic anatomy. Vol. 179. 2006: Springer Science & Business Media. [DOI:10.1007/b97501]
10. Jamieson, N., The" falciform ligament window". An unusual site for an internal hernia causing small bowel obstruction. Journal of the Royal College of Surgeons of Edinburgh, 1987. 32(6): 374-375.
11. Mathieu, D. and A. Luciani, Internal abdominal herniations. American Journal of Roentgenology, 2004. 183(2): 397-404. [DOI:10.2214/ajr.183.2.1830397] [PMID]
12. Macina, S., T. Testa, and C. Losacco, Congenital internal hernia through defect in the falciform ligament in adult: A case report and review of the literature. International Journal of Surgery Case Reports, 2016. 26: 104-107. [DOI:10.1016/j.ijscr.2016.05.003] [PMID] []
13. Elkhoury, M., et al., Internal hernia as a complication of congenital falciform ligament window. Acta Chirurgica Belgica, 2013. 113(3): 233-237. [DOI:10.1080/00015458.2013.11680919] [PMID]
14. Hasnaoui, H., et al., Internal hernia through the falciform ligament: a rare cause of intestinal obstruction. The Pan African Medical Journal, 2019. 32: 48-48.
15. Egle, J., et al., Internal hernias through the falciform ligament: a case series and comprehensive literature review of an increasingly common pathology. Hernia, 2013. 17: 95-100. [DOI:10.1007/s10029-012-0990-6] [PMID]
16. Shiozaki, H., et al., Pre-operative diagnosis and successful surgery of a strangulated internal hernia through a defect in the falciform ligament: a case report. Journal of Medical Case Reports, 2012. 6: 1-5. [DOI:10.1186/1752-1947-6-206] [PMID] []
17. Cagaš, J., P. Vlček, and J. Jeřábek, Rare internal hernia in the falciform ligament as a rare course of abdominal emergency and infrequent cause of ileus. Rozhledy v Chirurgii: Mesicnik Ceskoslovenske Chirurgicke Spolecnosti, 2012. 91(10): 558-560.
18. Soni, V., P.D. Valse, and S. Vyas, Colonic Atresia due to Internal Herniation through the Falciform Ligament Defect: A Case Report. Journal of Neonatal Surgery, 2014. 3(2): 21-21. [DOI:10.47338/jns.v3.85]
19. Özden, Ö. and S. Ekinci, Internal herniation through the falciform ligament: an unusual cause of intestinal obstruction. The Turkish Journal of Pediatrics, 2014. 56(5): 551-552.
20. Griffin, A.S., et al., Concurrent Spigelian hernia and falciform ligament hernia in a 67-year-old female. International journal of surgery case reports, 2015. 13: 27-29. [DOI:10.1016/j.ijscr.2015.05.035] [PMID] []
21. Stephenson, R., et al., Transfalciform greater omental herniation. Case Reports, 2017. 2017: bcr-2017-219563. [DOI:10.1136/bcr-2017-219563] [PMID] []
22. Griffin, O. and Y. Pillay, Case series of two falciform ligament incisional hernias and their laparoscopic repair. Journal of Surgical Case Reports, 2018. 2018(7): rjy163. [DOI:10.1093/jscr/rjy163] [PMID] []
23. Vissers, G., et al., Internal herniation through the falciform ligament of the liver: a case report. Acta Chirurgica Belgica, 2018. [DOI:10.1080/00015458.2018.1453439] [PMID]
24. Liang, T., et al., Laparoscopic preperitoneal repair for primary falciform ligament herniation. The Annals of The Royal College of Surgeons of England, 2020. 102(5): e102-e104. [DOI:10.1308/rcsann.2020.0032] [PMID] []
25. Coulier, B., et al., Small-bowel internal herniation through the falciform ligament: 64-row MDCT diagnosis. Emergency radiology, 2010. 17(1): 73-78. [DOI:10.1007/s10140-009-0793-y] [PMID]
26. Kim, S., et al., The perihepatic space: comprehensive anatomy and CT features of pathologic conditions. Radiographics, 2007. 27(1): 129-143. [DOI:10.1148/rg.271065050] [PMID]
27. Lakdawala, M., et al., Internal hernia through an iatrogenic defect in the falciform ligament: a case report. Hernia, 2009. 13: 217-219. [DOI:10.1007/s10029-008-0424-7] [PMID]
28. Baba, K., et al., Falciform ligament hernia with specific abdominal symptom. Clinical Journal of Gastroenterology, 2021. 14: 566-569. [DOI:10.1007/s12328-020-01323-0] [PMID]
29. Koussayer, B., et al., A Case Report of a Rare Hernia: Incarcerated Falciform Ligament Hernia. Cureus, 2023. 15(4). [DOI:10.7759/cureus.37386]

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