2023 Volume 43 Issue 7 Pages 1089-1091
A 77-year-old man presented to our emergency department with acute abdominal pain. He had undergone Frey’s procedure for chronic pancreatitis at another hospital about 10 years ago. Abdominal computed tomography (CT) showed dilated small intestinal loops and the whirl sign. Emergency surgery was performed under the suspicion of strangulated bowel obstruction caused by small bowel volvulus or internal herniation. Intraoperative exploration showed the small bowel incarcerated into a defect of the mesentery. After the incarcerated bowel was released, it was confirmed to be viable. The operation was therefore completed by closure of the mesenteric defect with non-absorbable sutures. The postoperative course was uneventful. Herein, we report a rare case of internal herniation developing after Frey’s operation.
