Bauchwandhernien
Richter-Hernie:
Nur die vordere Wand des Dünndarm herniert divertikelartig durch die Lücke in der Bauchwand.
Richter-Hernie:
Nur die vordere Wand des Dünndarm herniert divertikelartig durch die Lücke in der Bauchwand.
Preschooler
with a bulge above the umbilicus. Transverse US of the midline abdominal wall just superior to the umbilicus shows echogenic omental fat herniating in the midline between the medial rectus muscles which are abnormally displaced to the lateral aspect of the image and which should normally be joined together in the midline.The diagnosis was an abdominal wall hernia.
Abdominal hernias (herniae also used) may be congenital or acquired and come with varying eponyms. They are distinguished primarily based on location and content. 75-80% of all hernias are inguinal.
Content of the hernia is variable, and may include:
- small bowel loops
- mobile colon segments (sigmoid, cecum, appendix)
- mesenteric fat
- other viscera
Complications predominantly relate to bowel incarceration, strangulation, and intestinal obstruction. Large diaphragmatic hernias in infancy may be complicated by pulmonary hypoplasia.
Classification
- ventral: anterior and lateral abdominal hernias
- dorsal
- groin: most common
Subclassification
- anterior abdominal wall herniation
- epigastric hernia
- incisional hernia
- port site hernia
- interparietal hernia
- parastomal hernia
- paraumbilical hernia
- Spigelian hernia
- umbilical hernia
- rectus sheath - rectus sheath hernia
- miscellaneous
- Maydl hernia
- Richter hernia: contains only one wall of a bowel loop
- lumbar herniation
- groin herniation
- inguinal hernia
- direct inguinal hernia
- indirect inguinal hernia: five times commoner than direct
- pantaloon hernia (combined direct and indirect inguinal herniae)
- Busoga hernia
- femoral hernia
- obturator hernia
- inguinal hernia
- diaphragmatic herniation
- internal herniation: an uncommon cause of bowel obstruction
- the left paraduodenal fossa (fossa of Landzert): most common
- the right paraduodenal fossa (fossa of Waldyer)
- the foramen of Winslow (lesser sac)
- a hole in the mesentery (transmesenteric)
- a hole in the transverse mesocolon
- broad ligament hernia
- the superior ileocecal fossa
- the inferior ileocecal fossa
- the retrocecal fossa
- Littre hernia: hernia containing a Meckel diverticulum
- pelvic hernia
Siehe auch:
- Hiatushernie
- Appendix vermiformis
- Meckel-Divertikel
- innere Hernien
- Kolon
- Lungenhypoplasie
- Zwerchfellhernie
- Grynfeltt-Hernie
- Mesenterium
- Bochdalek'sche Hernie
- Dünndarm
- Zökum
- Trokarhernie
- Spieghel-Hernie
- Mesocolon transversum
- Intraperitoneale Onlay Mesh (IPOM) Hernien-Operation
- direkte Leistenhernie
- Richter-Hernie
- Morgagni-Hernie
- Foramen epiploicum
- Littre´sche Hernie
- incisional hernia
- indirekte Leistenhernie
- parastomal hernia
- epigastrische Hernie
- Transabdominale präperitoneale Netzimplantation
- Total extraperitoneale Hernioplastik
- lumbar herniation
- sigmoid
- Obturatorhernie
und weiter:
- axiale Hiatushernie
- Dünndarmileus
- Morgagni-Larrey hernia
- Lendenhernien
- Laterale Bauchwandhernie
- Inguinalhernie
- Inkarzeration
- diagnosis of a Symptomatic Left Paraduodenal Hernia in a Newborn
- laparoskopische Leistenhernienoperationen
- Petit hernia
- small bowel obstruction secondary to paraumbilical hernia
- supraumbilicales Serom
- obstructive ileus caused by herniation of descending colon into the rectus sheath
- incarcerated Richter hernia
- Hernien der Leistenregion
- large bowel obstruction secondary to ventral hernia
- traumatic abdominal wall hernia
Assoziationen und Differentialdiagnosen zu Bauchwandhernien: