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UNUSUAL CASE
Ahead of Print

Pouch of Douglas internal hernia successfully treated laparoscopically


 Department of Minimal Invasive Surgery, Citizens Specialty Hospital, Hyderabad, Telangana, India

Correspondence Address:
Deepak Sharma,
Department of Minimal Invasive Surgery, Citizens Specialty Hospital, Nallagandla, Serlingampally, Hyderabad, Telangana
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_79_19

A rare case of internal herniation of a peritoneal defect in the pouch of Douglas is being reported. It presented as a case of intestinal obstruction, which after investigation, on laparoscopic exploration was found to be a case of internal hernia getting obstructed in the pouch of Douglas. It was successfully treated by marsupialisation of the defect laparoscopically. A 33-year-old female presented with pain abdomen and vomiting. On investigations, she was found to be having a small intestinal obstruction. Conservative trial failed and then diagnostic laparoscopy was done, which revealed a peritoneal defect in the pouch of Douglas with the incarcerated distal ileal loop. Contents were reduced, and laparoscopic marsupialisation of the peritoneal defect was done. A rare case of defect in peritoneum with no defect in muscular layer in the pouch of douglas. Internal hernia is being reported and successfully treated laparoscopically by marsupialisation for the first time.


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    -  Chandra Hari G S
    -  Sharma D
    -  Srikanth C H
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04