What is the relationship between abdominal hernias and intestinal obstruction?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Hernias are the leading cause of intestinal obstruction in the world. Hidden hernias (eg, obturator, femoral, or lumbar hernias) should therefore be considered as possible causes of bowel obstruction. Intense pain is suggestive of strangulation with ischemic bowel. Torsion of the bowel on entry into the sac may lead to precipitous symptoms, whereas a more gradual onset of pain arises from progressive lymphatic, venous, and then finally arterial compromise secondary to occlusion at the neck of the sac.


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