Internal Abdominal Hernias

  • Morton A. Meyers


An internal abdominal hernia is defined as the protrusion of a viscus through a normal or abnormal aperture within the confines of the peritoneal cavity. The hernial orifice may be a preexisting anatomic structure, such as the foramen of Winslow, or a pathologic defect of congenital or acquired origin.


Superior Mesenteric Artery Internal Hernia Small Bowel Loop Inferior Mesenteric Vein Transverse Mesocolon 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Balthazar EJ: Intestinal malrotation in adults: Roentgenographic assessment with emphasis on isolated complete and partial nonrotations. AJR 126: 358–367, 1976PubMedCrossRefGoogle Scholar
  2. 2.
    Wang CA, Welch CE: Anomalies of intestinal rotation in adolescents and adults. Surgery 54: 839–855, 1963PubMedGoogle Scholar
  3. 3.
    Gale ME, Gerzof SG, Kiser LC, et al: CT appearance of afferent loop obstruction. AJR 138: 1085–1088, 1982PubMedCrossRefGoogle Scholar
  4. 4.
    Jaramillo D, Raval B: CT diagnosis of primary small—bowel volvulus. AJR 147: 941–942, 1986PubMedCrossRefGoogle Scholar
  5. 5.
    Lieberman JM, Haaga JR: Case report: Duodenal malrotation. J Comp Assist Tomogr 6(5): 1019–1020, 1982CrossRefGoogle Scholar
  6. 6.
    Jones TW: Paraduodenal hernia and hernias of the foramen of Winslow. In Hernia. Edited by IM Nyhus, HN Harkins. JB Lippincott, Philadelphia, 1964 pp 577–601Google Scholar
  7. 7.
    Mueller EC: Congenital internal hernia. Am J Surg 97: 201–204, 1959PubMedCrossRefGoogle Scholar
  8. 8.
    Pennell TC, Shaffner LS: Congenital internal hernia. Surg Clin N Am 51: 1355–1359, 1971PubMedGoogle Scholar
  9. 9.
    Zimmerman LM, Laufman H: Intra—abdominal hernias due to developmental and rotational anomalies. Ann Surg 138: 82–91, 1953PubMedCentralPubMedCrossRefGoogle Scholar
  10. 10.
    Hardy JD: Problems associated with gastric surgery: Review of 604 consecutive patients with annotation. Am J Surg 108: 699–716, 1964PubMedCrossRefGoogle Scholar
  11. 11.
    Markowitz AM, Retroanastomotic hernia. In Hernia. Edited by IM Nyhus, HN Harkins. JB Lippincott, Philadelphia, 1964, pp 607–616Google Scholar
  12. 12.
    Mock CJ, Mock HE Jr: Strangulated internal hernia associated with trauma. Arch Surg 77: 881 886, 1958Google Scholar
  13. 13.
    Winterscheid LC: Mesenteric hernia. In Hernia. Edited by LM Nyhus, HN Harkins. JB Lippincott, Philadelphia, 1964, pp 602–605Google Scholar
  14. 14.
    Murphy DA: Internal hernias in infancy and childhood. Surgery 55: 311–315, 1964PubMedGoogle Scholar
  15. 15.
    Williams AJ: Roentgen diagnosis of intra—abdominal hernia. An evaluation of the roentgen findings. Radiology 59: 817–825, 1952PubMedGoogle Scholar
  16. 16.
    Ghahremani GG, Meyers MA: Internal abdominal hernias. Curr Probl Radiol 5: 1–30, 1975Google Scholar
  17. 17.
    Meyers MA: Paraduodenal hernias. Radiologic and arteriographic diagnosis. Radiology 95: 29–37, 1970PubMedGoogle Scholar
  18. 18.
    Bertelsen S, Christiansen J: Internal hernia through mesenteric and mesocolic defects. A review of the literature and a report of two cases. Acta Chir Scand 133: 426–428, 1967PubMedGoogle Scholar
  19. 19.
    Nathan H: Internal hernia. J Int Coll Surg 34: 563–571, 1960PubMedGoogle Scholar
  20. 20.
    Parsons PB: Paraduodenal hernia. AJR 69: 563–589, 1953Google Scholar
  21. 21.
    Hansmann GH, Morton SA: Intra—abdominal hernia. Report of a case and review of the literature. Arch Surg 39: 973–986, 1939CrossRefGoogle Scholar
  22. 22.
    Berens JJ: Small internal hernias in the paraduodenal area. Arch Surg 86: 726–732, 1963PubMedCrossRefGoogle Scholar
  23. 23.
    Meyers MA: Arteriographic diagnosis of internal (left paraduodenal) hernia. Radiology 92: 1035–1037, 1969PubMedGoogle Scholar
  24. 24.
    Callander CL, Rusk GY, Nemir A: Mechanism, symptoms, and treatment of hernia into descending mesocolon (left duodenal hernia); plea for change in nomenclature. Surg Gynecol Obstet 60: 1052–1071, 1935Google Scholar
  25. 25.
    Roberts WH, Dalgleish AE: Internal hernia of embryological origin. Anat Rec 155: 279–285, 1966PubMedCrossRefGoogle Scholar
  26. 26.
    Moynihan BGA: On Retroperitoneal Hernia. Chapter 2: Duodenal folds and fossae. Bailliere, Tindall and Cox, London, 1889, pp 19–70Google Scholar
  27. 27.
    Landzert: Über die hernie Retroperitonealis (Treitz) und ihre Beziehungen zur Fossa duodeno—jejunalis. St Petersb Med Ztschr, MF 2: 306–350, 1871Google Scholar
  28. 28.
    Waldeyer W: Hernia retroperitonealis, nebst Bermerkungen zur Anatomie des Peritoneums. Arch Path Anat 60: 66–92, 1874CrossRefGoogle Scholar
  29. 29.
    Filtzer H, Sedgewick CE: Strangulated paraduodenal hernia. Report of a case. Surg Clin N Am 53: 371–374, 1973PubMedGoogle Scholar
  30. 30.
    Freund H, Berlatzky Y: Small paraduodenal hernias. Arch Surg 112: 1180–1183, 1977PubMedCrossRefGoogle Scholar
  31. 31.
    Mayo CW, Stalker LK, Miller JM: Intra—abdominal hernia. Review of 39 cases in which treatment was surgical. Ann Surg 114: 875–885, 1941PubMedCentralPubMedCrossRefGoogle Scholar
  32. 32.
    Ghahremani GG, Meyers MA: Hernias. Chapter 7 in Surgical Radiology. Edited by JG Teplick, ME Haskin. WB Saunders, Philadelphia, 1981Google Scholar
  33. 33.
    Lechner G, Gebhardt HD: Rechtseitäge paraduodenale Hernie. Fortschr Roentgenstr 105: 904–907, 1966PubMedCrossRefGoogle Scholar
  34. 34.
    Day DL, Drake DG, Leonard AS, et al: CT findings in left paraduodenal herniae. Gastrointest Radiol 13(1): 27–29, 1988PubMedCrossRefGoogle Scholar
  35. 35.
    Passas V, Karavias D, Grilias D, et al: Computed tomography of left paraduodenal hernia. J Comp Assist Tomogr 10(3): 542–543, 1986Google Scholar
  36. 36.
    Erskine JM: Hernia through the foramen of Winslow. Surg Gynecol Obstet 125: 1093–1109, 1967PubMedGoogle Scholar
  37. 37.
    Dardik H, Cowen R: Herniation of the gallbladder through the epiploic foramen into the lesser sac. Ann Surg 165: 644–646, 1967PubMedCentralPubMedCrossRefGoogle Scholar
  38. 38.
    Vint WA: Herniation of the gallbladder through the epiploic foramen into the lesser sac: Radiologic diagnosis. Radiology 86: 1035–1040, 1966PubMedGoogle Scholar
  39. 39.
    Hollenberg MS: Radiographic diagnosis of hernia into the lesser peritoneal sac through the foramen of Winslow. Report of a case. Surgery 18: 498–502, 1945Google Scholar
  40. 40.
    Khilnani MT, Lautkin A, Wolf BS: Internal hernia through the foramen of Winslow. J Mount Sinai Hosp 26: 188–193, 1959Google Scholar
  41. 40a.
    Popky GL, Lapayowker MS: Persistent descending mesocolon. Radiology 86: 327–331, 1966PubMedGoogle Scholar
  42. 41.
    Henisz A, Matesanz J, Westcott JL: Cecal herniation through the foramen of Winslow. Radiology 112: 575–578, 1974PubMedGoogle Scholar
  43. 42.
    Cimmino CV: Lesser sac hernia via the foramen of Winslow. A case report. Radiology 60: 57–59, 1953PubMedGoogle Scholar
  44. 43.
    Stankey RM: Intestinal herniation through the foramen of Winslow. Radiology 89: 929–930, 1967PubMedGoogle Scholar
  45. 44.
    Lefort H, Dax H, Vallet G: Herniation through the foramen of Winslow (roentgenologic and clinical considerations based on an analysis of 25 cases). J Radiol 48: 157–166, 1967Google Scholar
  46. 45.
    Schwartz A, Feuchtwanger MM: Hernia through the foramen of Winslow. Isr J Med Sci 4: 117–121, 1968PubMedGoogle Scholar
  47. 46.
    Goldberger LE, Berk RN: Cecal hernia into lesser sac. Gastrointest Radiol 5: 169–172, 1980PubMedCrossRefGoogle Scholar
  48. 47.
    Rooney JA, Carroll JP, Keeley JL: Internal hernias due to defects in the meso—appendix and mesentery of small bowel, and probable Ivemark syndrome. Report of two cases. Ann Surg 157: 254–258, 1963PubMedCentralPubMedCrossRefGoogle Scholar
  49. 48.
    Dalinka MK, Wunder JF, Wolfe RD: Internal hernia through the mesentery of a Meckel’s diverticulum. Radiology 95: 39–40, 1970PubMedGoogle Scholar
  50. 49.
    Cohen AM, Patel S: Arteriographic findings in congenital transmesenteric internal hernia. AJR 133: 541–543, 1979PubMedCrossRefGoogle Scholar
  51. 50.
    Kondi ES, Gallitano AL, Katz SJ: A new variant of intra—abdominal hernia. Ann Surg 181: 442–446, 1975PubMedCentralPubMedCrossRefGoogle Scholar
  52. 51.
    Gallagher HW: Spontaneous herniation through the transverse mesocolon: A review of the literature and the report of a case. Br J Surg 36: 300–305, 1949PubMedCrossRefGoogle Scholar
  53. 52.
    Meyers MA, Whalen JP: Roentgen significance of the duodenocolic relationships. An anatomic approach. AJR 117: 263–274, 1973CrossRefGoogle Scholar
  54. 53.
    Carlisle BB, Killen DA: Spontaneous transverse mesocolic hernia with re—entry into the greater peritoneal cavity: Report of a case with review of the literature. Surgery 62: 268–273, 1967Google Scholar
  55. 54.
    Morton CB, Alrich EM, Hill LD: Internal hernia after gastrectomy. Ann Surg 141: 759–764, 1955PubMedCentralPubMedCrossRefGoogle Scholar
  56. 55.
    Sabesta DG, Robson MC: Petersen’s retroanastomotic hernia. Am J Surg 116: 450–453, 1968CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Morton A. Meyers
    • 1
  1. 1.Department of Radiology, School of MedicineState University of New York at Stony BrookStony BrookUSA

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