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    J Korean Soc Radiol. 2010 Feb;62(2):163-165. Korean.
    Published online Feb 28, 2010.
    https://doi.org/10.3348/jksr.2010.62.2.163
    Copyright © 2010 The Korean Society of Radiology
    Case Report

    Multidetector-Row CT Findings of an Internal Supravesical Hernia: A Case Report

    Sang Won Kim, M.D., Hyeong Cheol Shin, M.D., Hyung Hwan Kim, M.D., Young Tong Kim, M.D., Il Young Kim, M.D. and Kil-Ho Kang, M.D.2
      • 1Department of Radiology, Cheonan Hospital, Soonchunhyang University, Korea.
      • 2Department of Surgery, Cheonan Hospital, Soonchunhyang University, Korea.
    • Address reprint requests to: Hyeong Cheol Shin, M.D., Department of Radiology, Cheonan Hospital, Soonchunhyang University School of Medicine, 23-20 Bongmyeong-dong, Cheonan-si, Choongnam 330-720, Korea. Tel. 82-41-570-3515, Fax. 82-41-579-9026, Email: hcshin@schca.ac.kr
    Received July 09, 2009; Accepted September 17, 2009.

    Abstract

    A supravesical hernia occurs in the supravesical fossa and is either classified as an external or internal supravesical hernia. Most patients with internal supravesical hernias present with small bowel obstruction. Internal supravesical hernias are less common than external supravesical hernia. To date, there are few reports describing the radiological findings of supravesical hernias. To our knowledge, this is the first reported multidetector row CT (MDCT) depiction of this type of hernia. We report here on the MDCT findings of a patient with an internal supravesical hernia presenting with small bowel obstruction.

    Keywords
    Hernia; Urinary bladder; Intestine, obstruction; Tomography, X-Ray Computed

    Figures

    Fig. 1
    A 64-year-old man with internal supravesical hernia.
    A. Contrast-enhanced axial MDCT image shows a short segment of incarcerated ileal loop (arrows) located anterior to the urinary bladder (UB) on the right. Also note a transitional zone (double arrows).

    B. Coronal reformatted image shows a site of obstruction (double arrows) around the urinary bladder (UB), incarcerated ileal loop (arrow), proximal loop (P), and distal loop (D). Multiple dilated small bowel loops filled with small bowel feces are also seen.

    C. Sagittal reformatted image shows an incarcerated ileal loop (arrow) that compresses the anterosuperior wall of the urinary bladder.

    D. Intraoperative laparoscopy reveals an incarcerated ileal loop through a supravesical fossa on the right side (arrows). UB = urinary bladder.

    References

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    MeSH Terms
    Hernia
    Humans
    Tomography, X-Ray Computed
    Urinary Bladder
    Metrics
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