Small bowel obstruction caused by congenital transmesenteric defect

Transmesenteric hernias are extremely rare. A strangulated hernia through a mesenteric opening is a rare operative finding. Preoperative diagnosis still is difficult in spite of the imaging techniques currently available. The authors describe two cases of paediatric patients presenting with bowel ob...

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Bibliographic Details
Published in:African journal of paediatric surgery 2011-01, Vol.8 (1), p.75-78
Main Authors: Nouira, F, Dhaou, Ben M, Charieg, A, Ghorbel, S, Jlidi, S, Chaouachi, B
Format: Article
Language:English
Subjects:
Anastomosis, Surgical
Blood
Bowel obstruction
Care and treatment
Case studies
Child
children
Colon, Sigmoid - diagnostic imaging
Colon, Sigmoid - surgery
Colorectal diseases
Colostomy
Complications and side effects
congenital
Diagnosis
Female
Gastrointestinal diseases
Hernia
Hernia, Abdominal - complications
Hernia, Abdominal - diagnosis
Hernia, Abdominal - surgery
Hospitals
Humans
Ileal Diseases - complications
Ileal Diseases - diagnosis
Ileal Diseases - surgery
Ileum - diagnostic imaging
Ileum - surgery
internal hernia
Intestinal Obstruction - diagnosis
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Laparotomy
Medical diagnosis
Medical treatment
Mesentery - abnormalities
Mesentery - surgery
Mortality
Risk factors
Tomography, X-Ray Computed
Treatment Outcome
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Description
Summary:Transmesenteric hernias are extremely rare. A strangulated hernia through a mesenteric opening is a rare operative finding. Preoperative diagnosis still is difficult in spite of the imaging techniques currently available. The authors describe two cases of paediatric patients presenting with bowel obstruction resulting from a congenital mesenteric hernia. The first patient had a 3-cm wide congenital defect in the ileal mesentery through which the sigmoid colon had herniated. The second patient is a newborn infant who presented with symptoms and radiographic evidence of neonatal occlusion. At surgical exploration, a long segment of the small bowel had herniated in a defect in the ileal mesentery. A brief review of epidemiology and anatomy of transmesenteric hernias is included, along with a discussion of the difficulties in diagnosis and treatment of this condition.
ISSN:0189-6725
0974-5998
DOI:10.4103/0189-6725.78934