Strangule Congenıtal Mesenterıc Hernia: A Case Report

Kalaycı, Orhan; Yazıcı, Ahmet; Yandi, Mustafa; Topaloğlu, Serdar

doi:10.5505/tjtes.2015.44957

Cited by 3 publications

(3 citation statements)

References 5 publications

(7 reference statements)

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“…Genetic causation is also advised due to the association of transmesenteric hernia with cystic fibrosis and Hirschsprung disease [ 3 , 9 , 10 ]. Acquired transmesenteric internal hernias occur commonly after gastrointestinal surgeries like laparoscopic Roux-en-Y gastric bypass surgery, transmesocolic being the commonest [ 11 , 12 ]. The second type occurs when the bowel protrudes through small bowel mesentery, and the third type, commonly called the Peterson type involves small bowel protrusion behind the Roux loop before passing through the defect in the transverse mesocolon [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Transmesenteric hernia with closed-loop small bowel obstruction: A case report

Shrestha

Aryal

Pradhan

et al. 2022

Annals of Medicine &Amp; Surgery

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Background Transmesenteric hernia is a subtype of internal abdominal hernia (IAH) and a rare cause of small bowel obstruction in adults. Difficulty in reaching a definitive diagnosis due to non-specific clinical and imaging findings often cause life-threatening bowel ischemia. Case report We report a case of a 37-year-old female who presented with clinical and imaging features of small bowel obstruction. She underwent an emergency laparotomy where the diagnosis of transmesenteric hernia causing closed-loop obstruction was made. The non-viable portion of the intestine was resected, anastomosis of the ileum along with the closure of the mesenteric defect was performed. Discussion IAH is the protrusion of abdominal viscera, most commonly small bowel loops through a peritoneal or mesenteric defect into the abdominal or pelvic cavity. Considered common in children, it is rare in adults and is most common after abdominal surgeries like Roux-en-Y gastric bypass surgery. Clinical features and imaging findings are non-specific causing delay in the diagnosis. Conclusion A high index of suspicion is required while assessing the patient with symptoms suggestive of acute bowel obstruction as the preoperative diagnosis of a transmesenteric hernia is challenging.

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Section: Discussionmentioning

confidence: 99%

Transmesenteric hernia with closed-loop small bowel obstruction: A case report

Shrestha

Aryal

Pradhan

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Some cases of transmesenteric hernias have been reported in pediatric patients, whereas adult cases have rarely been reported [ 1 ]. Transmesenteric hernias in adult patients occur more frequently after a surgery such as gastro-intestinal reconstruction [ 4 ]. Congenital mesenteric defects are very rare in adults but can cause an internal hernia followed by an incarceration or strangulation of small intestines [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Transmesenteric hernia with two mesenteric defects in an adult

Cao¹,

Isogaki²,

Kohga³

et al. 2018

Journal of Surgical Case Reports

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Transmesenteric hernia is a rare cause of small bowel strangulation in adults and, to our knowledge, no one has reported the existence of two mesenteric defects in an adult. Our patient was a 73-year-old Japanese woman who presented to our emergency department complaining of abdominal pain and nausea. Computed tomography with contrast enhancement revealed a closed loop obstruction in the pelvis, suggesting small bowel strangulation due to an internal hernia. The emergency exploratory laparotomy indicated a small bowel strangulation caused by a transmesenteric hernia. With the examination across whole parts of the mesentery, we identified another small defect. Both defects were closed by suture intraoperatively, and the patient’s postoperative course was satisfactory. Searching for whole parts of the mesentery after the reduction of a hernia can help prevent the recurrence of internal hernias.

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“…In older literature, congenital internal hernias were the most frequent types of all IHs, but recent studies report the increase of the acquired types [10,11]. The surgical treatment results for congenital types were also much better than the results for acquired types [12][13][14][15]. Delayed laparotomy time (>3 days after the onset of the symptoms) and the presence of a comorbidity were related to high morbidity [16].…”

Section: Discussionmentioning

confidence: 99%

Small intestinal perforations due to acquired internal herniation

Öter¹

2018

Ann Clin Anal Med

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Aim: An internal hernia is a very rare cause of acute small bowel obstruction and perforation which may be difficult to diagnose. We aimed to provide a retrospective study for management and evaluated patients who underwent surgery for perforation due to intestinal internal herniation in our department. Material and Method: From January 2012 to April 2017, seven patients underwent surgery for a perforation due to intestinal internal herniation at our clinic. We retrospectively reviewed the patients' records, imaging modalities, and operative findings. Results: There were two women and five men with a mean age of 52.50

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Strangule Congenıtal Mesenterıc Hernia: A Case Report

Cited by 3 publications

References 5 publications

Transmesenteric hernia with closed-loop small bowel obstruction: A case report

Transmesenteric hernia with closed-loop small bowel obstruction: A case report

Transmesenteric hernia with two mesenteric defects in an adult

Small intestinal perforations due to acquired internal herniation

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