Internal hernias in the era of multidetector CT
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Clinical diagnosis of internal hernias is challenging because of their nonspecific signs and symptoms. Many types of internal hernias have been defined: paraduodenal, small bowel mesentery–related, greater omentum–related, lesser sac, transverse mesocolon–related, pericecal, sigmoid mesocolon–related, falciform ligament, pelvic internal, and Roux-en-Y anastomosis–related. An internal hernia is a surgical emergency that can develop into intestinal strangulation and ischemia. Accurate preoperative diagnosis is crucial for appropriate management. Multidetector computed tomography (CT), with its thin-section axial images, high-quality multiplanar reformations, and three-dimensional images, currently play an essential role in the preoperative diagnosis of internal hernias.

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