Singular Case of Small Intestinal Internal Hernia. How Laparoscopy Can Help for Diagnosis and Treatment

A man aged 81 years presented with a rare case of internal hernia complicated by intestinal obstruction and ischemia of the jejunum, a condition that is relatively uncommon and often diagnosed only in the context of nonspecific obstructive syndrome. Internal hernias, characterized by the passage of intestine through natural or abnormal intra-abdominal openings, exhibit complex anatomical and clinical variations. In this case, the intraoperative findings revealed incarcerated and ischemic jejunal loops, with volvulus of the terminal segment. The surgical procedure involved partial intestinal resection and lysis of adhesions to prevent future incarcerations. The procedure concluded with an anastomosis of the lateral-lateral an isoperistaltic type. The patient was monitored post-operatively with blood tests and a perianastomotic drain placed in the pelvis.