Transmesocolic internal herniation: a rare case of small bowel obstruction, “the Marrakesh hernia”

Narjis, Y.; Jgounni, R.; Mansouri, M. N. El; Rabbani, K.; Hiroual, R.; Belhadj, Karim; Ousehal, A.; Finech, B.; Dafali, A. El Idrissi

doi:10.1007/s10029-009-0553-7

Cited by 6 publications

(6 citation statements)

References 8 publications

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“…aperture. Internal abdominal herniations can be either acquired through a trauma or surgical procedure (iatrogenic internal abdominal herniations) or constitutional, related to congenital peritoneal defects [2,3]. In the broad category of internal hernias are several main types, as traditionally described by Meyers [4], based on location.…”

Section: Resultsmentioning

confidence: 99%

Primitive Internal Hernia in Adult: A Report on 6 Cases

B¹

2015

Surgery Curr Res

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Patients and methods: it was a retrospective study reporting six cases (three males, three females) of primitive internal hernias, with a mean age of 31.75 years.Results: Acute intestinal obstruction was present in 4 cases. The interval between the development of symptoms and hospitalization ranged from 24 to 72 hours (mean: 52 hours). We found two paraduodenal hernias, two primitive adhesions and one case of each of the other types: primitive transmesocolic and transomental herniations. CT scan helped to diagnosis in four cases. Resection of small bowel was done in two patients. We deplored no death but two cases of wound infection. The length of hospital stay was 6.4 days (3-10 days). Conclusion:our series confirmed the young age of this pathology with no sex prediction. It also confirmed the preponderant place of CT scan in the management of these patients.

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Section: Resultsmentioning

confidence: 99%

Primitive Internal Hernia in Adult: A Report on 6 Cases

B¹

2015

Surgery Curr Res

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“…Así, la herniación puede darse de diferentes maneras: a través de un orificio natural (v.g. foramen de Winslow); a través de un defecto paranormal en la unión entre el mesenterio y el peritoneo (hernias paraduodenal o pericecal); por un defecto del mesenterio (hernias transmesentérica, transomental o pélvi-ca) (18); por combinaciones de algunas de ellas (19,20) y aun por el paso del contenido herniario a través de defectos anatómicos exóticos (21)(22)(23). Para las HI relacionadas con el colon sigmoide, Benson (24) propuso, desde 1964, una subdivisión específica en intersigmoidea,…”

Section: Discussionunclassified

Hernia transmesentérica. Revisión del tema a raíz de un caso exótico de infarto intestinal en un adulto

Cabrales-Vega

2015

iatreia

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Introducción: la hernia transmesentérica (HT) es una causa extremadamente rara de isquemia intestinal en adultos, con pocos casos reportados en la literatura.Presentación del caso: un hombre de 71 años presentó dolor epigástrico severo de seis horas de evolución, sin signos de obstrucción intestinal ni historia de cirugías abdominales previas. Ante el deterioro clínico se hizo una laparotomía que reveló un defecto transmesentérico de 4 cm en el yeyuno y herniación de ciento noventa cm de intestino delgado con signos de gangrena. Se efectuaron reducción del contenido, resección intestinal y anatomosis primaria. La recuperación fue exitosa y fue dado de alta diez días después del ingreso.Discusión: los síntomas clínicos, los estudios radiológicos y los datos de laboratorio suelen ser inespecíficos para el diagnóstico de HT. La tasa de mortalidad puede superar el 50 %. Este artículo resume las características clínicas más importantes a partir de una revisión exhaustiva de la literatura.Conclusión: la obstrucción intestinal por HT es una condición potencialmente letal. Los signos y síntomas clínicos relacionados con HT exigen un estricto seguimiento. Si no hay mejoría o se presenta deterioro clínico, se debe hacer una cirugía temprana con el fin de reducir la mortalidad y la morbilidad por esta causa. PALABRAS CLAVEDefecto Mesentérico; Hernia Interna; Hernia Transmesentérica; Obstrucción Intestinal SUMMARY Transmesenteric hernia. A literature review following an exotic case of intestinal infarction in an adult Introduction: Transmesenteric hernia (TH) is an extremely rare cause of bowel ischaemia in adults with few reported cases.

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“…The autopsy incidence of internal hernias is 0.2–2%, most of them is asymptomatic and acquired [ 1 ]. The herniated bowel may return to its normal location or be incarcerated, depending on the size of the defect and the length of the herniated bowel [ 7 ]. Sigmoid mesocolic hernia although uncommon, it is not extremely rare accounting for 5% of all internal hernias [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Small bowel obstruction caused by sigmoid mesocolic hernia

Yang

Kim

2014

Journal of Surgical Case Reports

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Internal hernia is an unusual cause of small bowel obstruction and classified several types according to locations. Sigmoid mesocolic hernia is an uncommon condition and among others intramesosigmoid hernia was rarely reported in the literature. We report the case of a 49-year-old female with a rare type of congenital internal hernia, through the mesosigmoid, causing small bowel obstruction. She suffered from obstructive symptoms but with no previous history of laparotomy. The diagnosis of internal hernia was suggested by computed tomography, but the type of internal hernia was confirmed by laparoscopic exploration. She underwent laparoscopic detachment of peritoneal attachment comprising hernia sac without defect repair. The postoperative course was uneventful and the patient is free from symptoms and recurrence. This report presents a case of intrasigmoid hernia managed successfully by the laparoscopic approach and shows another surgical technique according to hernia types.

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Transmesocolic internal herniation: a rare case of small bowel obstruction, “the Marrakesh hernia”

Cited by 6 publications

References 8 publications

Primitive Internal Hernia in Adult: A Report on 6 Cases

Primitive Internal Hernia in Adult: A Report on 6 Cases

Hernia transmesentérica. Revisión del tema a raíz de un caso exótico de infarto intestinal en un adulto

Small bowel obstruction caused by sigmoid mesocolic hernia

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