Journal List > J Korean Soc Radiol > v.66(6) > 1087130

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Lee, Kim, Hwang, Kim, Lee, Lee, and Kim: Internal Hernia through a Peritoneal Defect of the Pouch of Douglas: A Case Report
Case Report
Abdominal Radiology
Journal of the Korean Society of Radiology

Journal of the Korean Society of Radiology 2012; 66(6): 539-542.

Published online: 13 June 2012

DOI: https://doi.org/10.0000/jksr.2012.66.6.539

Internal Hernia through a Peritoneal Defect of the Pouch of Douglas: A Case Report

Kwang Jin Lee, MD, Yong Hoon Kim, MD, Yoon Joon Hwang, MD, Su Young Kim, MD, Byeong Hoon Lee, MD, Ji Young Lee, MD, You Sung Kim, MD

Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Corresponding author: Yong Hoon Kim, MD. Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, 170 Juhwa-ro, Ilsanseo-gu, Goyang 411-706, Korea. Tel. 82-31-910-7395, Fax. 82-31-910-7369, kyh@paik.ac.kr

Received 4 March 2012       Accepted 4 April 2012

Copyright © 2012 The Korean Society of Radiology

Abstract

We report a case of surgically confirmed internal hernia through a peritoneal defect of the pouch of Douglas in a 25-year-old woman. This type of internal hernia is extremely rare, and to the best of our knowledge, only two cases have been reported in the English literature. Computed tomography (CT) showed a cluster of dilated small bowel loops on the posterior portion of the uterus and right side of the rectum, with a closely located proximal and distal transitional zone. We present the CT findings of this case and a literature review about the differential diagnosis of this condition.

Keywords: Internal Hernia, Pelvic Hernia, Pouch of Douglas, Peritoneal Defect

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