Journal List > J Korean Soc Radiol > v.62(2) > 1086714

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Kim, Shin, Kim, Kim, Kim, and Kang: Multidetector-Row CT Findings of an Internal Supravesical Hernia: A Case Report
Abdominal Radiology
Case Report

Journal of the Korean Society of Radiology 2010; 62(2): 163-165.

Published online: 28 February 2010

DOI: https://doi.org/10.3348/jksr.2010.62.2.163

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., 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, hcshin@schca.ac.kr

Received 9 July 2009       Accepted 17 September 2009

Copyright © 2010 The Korean Society of Radiology

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 and Tables

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.
jksr-62-163-g001

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