Lan B, Qiang Z. Small bowel obstruction due to intra-abdominal hernia: New thoughts on diagnosis and treatment. World J Clin Cases 2025; 13(12): 102204 [DOI: 10.12998/wjcc.v13.i12.102204]
Corresponding Author of This Article
Zhe Qiang, MD, Associate Professor, Department of Pharmacology and Toxicology, Sichuan-Chongqing Joint Key Laboratory of New Chinese Medicine Creation Laboratory, Chongqing Academy of Chinese Materia Medica, No. 34 Nanshan Road, Huangjueya, Nan’an District, Chongqing 400061, China. qiangzhe@cqctcm.edu.cn
Research Domain of This Article
Anatomy & Morphology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 26, 2025; 13(12): 102204 Published online Apr 26, 2025. doi: 10.12998/wjcc.v13.i12.102204
Small bowel obstruction due to intra-abdominal hernia: New thoughts on diagnosis and treatment
Bo Lan, Zhe Qiang
Bo Lan, Zhe Qiang, Department of Pharmacology and Toxicology, Sichuan-Chongqing Joint Key Laboratory of New Chinese Medicine Creation Laboratory, Chongqing Academy of Chinese Materia Medica, Chongqing 400061, China
Author contributions: Qiang Z contributed to conceptualization, and reviewed and edited the draft; Bo L contributed to methodology, supervision and investigation; Qiang Z and Bo L wrote the original draft; And both authors have read and agreed to the published version of the manuscript.
Supported by the Chongqing Fundamental Research Funds, No. jbky20210001; and Performance Incentive-oriented Project of Chongqing, No. jxjl20220006.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhe Qiang, MD, Associate Professor, Department of Pharmacology and Toxicology, Sichuan-Chongqing Joint Key Laboratory of New Chinese Medicine Creation Laboratory, Chongqing Academy of Chinese Materia Medica, No. 34 Nanshan Road, Huangjueya, Nan’an District, Chongqing 400061, China. qiangzhe@cqctcm.edu.cn
Received: October 11, 2024 Revised: November 4, 2024 Accepted: December 16, 2024 Published online: April 26, 2025 Processing time: 87 Days and 17.1 Hours
Abstract
Internal herniation (IH) refers to the movement of intra-abdominal organs or tissues out of their original position through normal or abnormal orifices and fissures in the peritoneum or mesentery and into an anatomic space within the abdominal cavity. Although the incidence of small bowel obstruction (SBO) caused by IH is very low (approximately 0.2% to 0.9%), its incidence may be increased in certain specific populations or in postoperative patients. Recently Kaw et al shared their 13-year experience of managing IHs in a tertiary care hospital in India. This retrospective study analyzed and determined the clinico-demographic profiles, radiological and operative findings and postoperative course of patients with IH and the association with SBO. The results provide valuable insights into early diagnosis and establishment of a timely treatment regimen for this condition and emphasize the importance of combining rapid imaging evaluation with the traditional therapeutic approach of laparoscopic surgery, thus providing a novel perspective on the diagnosis and treatment of SBO caused by IH.
Core Tip: Despite the low incidence of small bowel obstruction caused by internal herniation (IH), Kaw et al showed that there is still a need for IH as a differential diagnosis of intestinal bowel obstruction. Contrast-enhanced computed tomography combined with the traditional treatment method of laparoscopic surgery is an effective means of early diagnosis and reduces unnecessary investigations.
