Congenital Transmesenteric Hernia Without Bowel Strangulation in a Young Adult

Kaya, Feridun; Kafadar, Mehmet Tolga; Gök, Mehmet Ali; Kısmet, Kemal; Ertaş, Ertuğrul

doi:10.4274/haseki.4094

Cited by 1 publication

(2 citation statements)

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“…The first instance of a congenital transmesenteric hernia presenting in an adult was reported by Moulay et al in 1971 [4]. The incidence of congenital IHs presenting with SBO and bowel ischemia in adulthood is extremely rare, with <30 case reports in published literature up to 2023, to the best of our knowledge [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Since there are so few case reports documented and published, no systematic reviews outlining the presentation, ideal course of management, or outcomes are available for comparison.…”

Section: Cect: Contrast-enhanced Computed Tomographymentioning

confidence: 99%

“…Congenital IHs are rarer, even more so in adults, accounting for barely 8% of all iHs, usually due to embryological or developmental defects, often undiagnosed, and require a high index of clinical suspicion [2]. Congenital IHs are a common cause of SBO in infants and pediatric age groups, but are extremely rare among adults, with only 28 cases documented in published literature [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. They often remain undiagnosed, usually being an intra-operative diagnosis, and hence require a low threshold for surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Congenital Transmesenteric Hernia With Closed-Loop Small Bowel Obstruction and Intestinal Gangrene in an Adult

Songadkar,

Hansalia,

Pathak

et al. 2024

Cureus

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Internal hernias (IHs) are defined as the protrusion of the intestine through an aperture in the peritoneal ligament, mesentery, or the omentum, without traversing the fascial planes and leading to encapsulation of the protruded intestine within another compartment of an otherwise intact abdominal cavity. Internal hernias can be acquired or congenital. Congenital internal hernias resulting in small bowel obstruction are extremely rare, even more so in adults, occurring usually due to embryological or developmental defects, often undiagnosed, and requiring a high index of clinical suspicion. We report a rare case of a 22-year-old young adult with transmesenteric hernia of distal ileum through a congenital distal ileal mesenteric defect resulting in closed-loop small bowel obstruction and distal ileal gangrene, managed with resection and end-ileostomy, followed by stoma reversal one month later. It requires a high index of suspicion and remains a surgical emergency due to its predilection for intestinal gangrene and small bowel obstruction, with a high mortality rate due to delayed presentation and diagnosis.

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