Internal hernia through a peritoneal defect of the pouch of douglas: A case report

We report a case of surgically confirmed internal hernia through a peritoneal defect of the pouch of Douglas in a 25 year old woman. This type of internal hernia is extremely rare, and to the best of our knowledge, only two cases have been reported in the English literature. Computed tomography (CT) showed a cluster of dilated small bowel loops on the posterior portion of the uterus and right side of the rectum, with a closely located proximal and distal transitional zone. We present the CT findings of this case and a literature review about the differential diagnosis of this condition