Internal Hernia with Volvulus – A Rare Cause of Recurrent Abdominal Pain after Frey’s Procedure

Abstract

Acquired internal hernia can be a rare cause of abdominal pain after Frey’s procedure for chronic pancreatitis. The presentation and imaging findings can be non-specific and there should be a high index of suspicion in dealing with these patients. The delay in diagnosis can be catastrophic in some cases, as the bowel can undergo volvulus and gangrene. Prompt surgical treatment is the key to avoid major morbidity and mortality.