Which physical findings are characteristic of internal intestinal herniation?

Updated: Dec 19, 2018
  • Author: Denis D Bensard, MD, FACS, FAAP; Chief Editor: Carmen Cuffari, MD  more...
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  • Physical examination findings can be unremarkable; diagnosis is made by a high index of clinical suspicion and radiologic studies.

  • Patients with left mesentericoparietal hernias may have findings related to venous obstruction, such as hematochezia, hemorrhoids, and dilated anterior abdominal veins.

  • If acute obstruction is present at the time of presentation, guarding and tenderness may be present and a globular mass may be palpated at the location of the hernia.

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