RARE FACES OF ACUTE INTESTINAL OBSTRUCTION- INTERNAL HERNIA AND ILEO-ILEAL KNOTTING - A RETROSPECTIVE DESCRIPTIVE STUDY

The aim of this study was to depict the incidence of internal hernia and ileo-ileal knotting as a cause of acute intestinal obstruction in our institution between May 2009 to September 2011. The study was a retrospective descriptive study which included patients admitted in our institution between May 2009 to September 2011 with features suggestive of acute intestinal obstruction. The data from the medical records of the patients were utilized.Data from 237 patients who were admitted with features of acute intestinal obstruction between May 2009 to September 2011 were analysed from the inpatient records. We report THREE CASES of acute abdomen where internal herniation into mesenteric defects created by previous surgeries and ileo-ileal knotting led to the development of acute intestinal obstruction.This study is important from the perspective that internal hernia and ileo-ileal knotting though rare should be borne in mind as a cause of acute abdomen particularly in previously operated patients