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Transmesenteric internal hernia, small bowel volvulus

Harshany MLH - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Transmesenteric internal hernia, small bowel volvulus

History: 27 y/o woman with sudden onset of periumbilical abdominal pain relieved only by "bending forward". Previous surgery - gastric bypass 2 years ago.

Findings: Early studies demonstrate an internal transmesenteric small bowel hernia without volvulus or ischemia. Recent study demonstrate the "whirl" sign - indicating twisting of the bowel and, hence, volvulus. No evidence of intestinal ischemia or necrosis on CT (no submucosal enhancement, bowel wall thickening, free fluid or pneumatosis intestinalis).

Ddx: Clinical difeerential diagnosis: <li> Acute appendicitis <li> Acute cholecystitis <li> Mesenteric ischemia <li> Volvulus Imaging findings are diagnostic.

Dxhow: Surgery

Exam: Severe periumbilical pain, peritoneal signs. Unable to tolerate oral contrast.

No MeSH data available.


Small bowel and mesenteric root are seen herniating through mesenteric defect into the upper pelvis.  No evidence of complication at this time.
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MPX2481_synpic23897: Small bowel and mesenteric root are seen herniating through mesenteric defect into the upper pelvis. No evidence of complication at this time.


Transmesenteric internal hernia, small bowel volvulus

Harshany MLH - MedPix

Small bowel and mesenteric root are seen herniating through mesenteric defect into the upper pelvis.  No evidence of complication at this time.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2481&req=5

MPX2481_synpic23897: Small bowel and mesenteric root are seen herniating through mesenteric defect into the upper pelvis. No evidence of complication at this time.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Transmesenteric internal hernia, small bowel volvulus

History: 27 y/o woman with sudden onset of periumbilical abdominal pain relieved only by "bending forward". Previous surgery - gastric bypass 2 years ago.

Findings: Early studies demonstrate an internal transmesenteric small bowel hernia without volvulus or ischemia. Recent study demonstrate the "whirl" sign - indicating twisting of the bowel and, hence, volvulus. No evidence of intestinal ischemia or necrosis on CT (no submucosal enhancement, bowel wall thickening, free fluid or pneumatosis intestinalis).

Ddx: Clinical difeerential diagnosis: <li> Acute appendicitis <li> Acute cholecystitis <li> Mesenteric ischemia <li> Volvulus Imaging findings are diagnostic.

Dxhow: Surgery

Exam: Severe periumbilical pain, peritoneal signs. Unable to tolerate oral contrast.

No MeSH data available.