Congenital Transmesenteric Hernia Without Bowel Strangulation in a Young Adult

Congenital internal hernia is a rare cause of bowel obstruction in adults and often presents with complications. A high index of suspicion, occasionally aided by appropriate radiological imaging, should lead to early surgical intervention and thus reduce morbidity and mortality. In this article, we...

Full description

Saved in:
Bibliographic Details
Published in:Haseki tıp bülteni 2018-12, Vol.56 (4), p.337-340
Main Authors: Kaya, Feridun, Kafadar, Mehmet Tolga, Gök, Mehmet Ali, Kısmet, Kemal, Ertaş, Ertuğrul
Format: Article
Language:English
Subjects:
Abdomen
Adults
Appendicitis
Defects
Gangrene
Internal hernia
Laboratories
Ligaments
mesenteric defect
Mesentery
Pain
Sağlık Hizmetleri
small bowel
Small intestine
Surgery
Tıp
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Congenital internal hernia is a rare cause of bowel obstruction in adults and often presents with complications. A high index of suspicion, occasionally aided by appropriate radiological imaging, should lead to early surgical intervention and thus reduce morbidity and mortality. In this article, we describe a case of a 27-year-old man who presented with periumbilical and right lower quadrant pain. The patient who had undergone surgery for appendicitis was found to have an incidental mesenteric defect with herniating 30 cm-long small bowel segment on exploration. The mesenteric defect was repaired and the herniated bowel segment was reduced to prevent volvulus. The patient made an uneventful recovery.
ISSN:1302-0072
2147-2688
DOI:10.4274/haseki.4094