Objective To investigate the MSCT Manifestations and features of Internal Hernia of different types. Methods The clinical data of 1310 cases of acute abdomen patients diagnosed with MSCT in our hospital from January 2015 to January 2018 were retrospectively analyzed. Results Among 1310 cases of acute abdomen patients, 12 patients had internal hernia, of which 8 cases (66.67%) received the enhanced scans. 12 patients with intra-abdominal hernia had different degrees of intestinal obstruction, of which 2 patients (16.67%) had significant dilatation of the intestine and effusions. The MSCT images were "coffee bean" or "pseudotumor". The mesenteric vascular changes occurred in 3 patients (25.00%), of which 1 case (33.33%) had mesenteric aggregation and displacement, 1 case (33.33%) had mesenteric twist, and 1 case (33.33%) had mesenteric enlargement with mesangial fat increased density, the MSCT featured as the "vascular collection syndrome." Intestinal ischemia occurred in 3 patients (25.00%), of which 1 case (33.33%) had intestinal wall ischemia, 1 case (33.33%) had combined water deficit, and 1 case (33.33%) had abnormal intestinal wall density. MSCT images featured as "concentric circles." 4 patients (33.33%) had occupying effect, the contents of the small intestine had passed through the fistula, and the intestinal fistula accumulated and expanded significantly. One case (25.00%) was in the left upper quadrant, 2 cases (50.00%) was in the right upper quadrant, and 1 case (25.00%) was in the middle and upper abdomen. The diagnostic accuracy of MSCT was 83.33%. Conclusion The patients with intra-abdominal hernia have different degrees of intestinal obstruction. The MSCT image of sputum intestinal obstruction is "coffee bean". The mesenteric vascular changes are characterized by "recruitment of blood vessels". The features of intestinal ischemia are "concentric circles". The space-occupying effect was characterized by a marked expansion of intestinal ridges.