A case report reveals a rare internal hernia causing small bowel obstruction in a patient with metastatic disease, indicating the need for surgical intervention.
Key Points
Emergency laparotomy revealed a transmesocolic hernia causing small bowel obstruction with viable bowel.
The patient presented with right flank pain, nausea, and constipation, highlighting the diagnostic challenge of these hernias.
The hernia defect was likely due to peritoneal carcinomatosis, emphasizing the importance of high clinical suspicion.
Early surgical intervention is essential to prevent bowel ischemia and avoid complications in cases like this.