Youssef Narjis *,Finech B
Introduction: Primitive Internal hernias in adult are rare. There are many types of these hernias. We report the experience of our department in the management of this pathology.
Patients and methods: it was a retrospective study reporting six cases (three males, three females) of primitive internal hernias, with a mean age of 31.75 years.
Results: Acute intestinal obstruction was present in 4 cases. The interval between the development of symptoms and hospitalization ranged from 24 to 72 hours (mean: 52 hours). We found two paraduodenal hernias, two primitive adhesions and one case of each of the other types: primitive transmesocolic and transomental herniations. CT scan helped to diagnosis in four cases. Resection of small bowel was done in two patients. We deplored no death but two cases of wound infection. The length of hospital stay was 6.4 days (3-10 days).
Conclusion: our series confirmed the young age of this pathology with no sex prediction. It also confirmed the preponderant place of CT scan in the management of these patients.