{
    "abstract": "Internal hernia is a rare complication following abdominal surgery, primarily resulting from structural defects caused by anastomosis. We report a unique case of a late abdominal wall internal hernia highly suspected as resulting from insufficient peritoneal closure.\nA 72-year-old woman presented with symptoms of intestinal obstruction 40 years after undergoing an abdominal hysterectomy. Abdominal computed tomography revealed a suspicious closed loop of intestine; then, a laparotomy was performed for suspected internal hernia. During the procedure, herniation of intestine into the preperitoneal space through a parietal peritoneal defect between rectus abdominis and sigmoid colon was identified. Intestinal reduction, resection of the ischemic segment and closure of the peritoneal defect were performed. The patient recovered well.\nNon-closure of peritoneum might lead to late internal hernias. Meticulous peritoneal closure should be considered to prevent this potentially lethal complication.",
    "authors": [
        {
            "affiliation": "Division of General Surgery and Department of Surgery, Kaohsiung Municipal Feng Shan Hospital (Under the Management of Chang Gung Medical Foundation), Kaohsiung 830025, Taiwan.\nDivision of General Surgery and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833401, Taiwan. bameow@cgmh.org.tw.",
            "firstname": "Ya-Chen",
            "initials": "YC",
            "lastname": "Chou"
        }
    ],
    "conclusions": "Non-closure of peritoneum might lead to late internal hernias. Meticulous peritoneal closure should be considered to prevent this potentially lethal complication.",
    "copyrights": "\u00a9The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.",
    "doi": "10.12998/wjcc.v13.i11.98570",
    "journal": "World journal of clinical cases",
    "keywords": [
        "Case report",
        "Incisional hernia",
        "Internal hernia",
        "Intestinal obstruction",
        "Peritoneal hernia"
    ],
    "methods": null,
    "publication_date": "2025-04-17",
    "pubmed_id": "40242227\n25708572\n37162714\n30680656\n36662172\n27440227\n34824987\n20354744\n29226885\n9579447\n11728498\n23828487\n28779253",
    "results": null,
    "title": "Parietal peritoneal hernia after abdominal hysterectomy for forty years: A case report.",
    "xml": "<Element 'PubmedArticle' at 0x788503e9a9d0>"
}