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Congenital trans-mesenteric herniation: a rare cause of small intestine strangulation in adults.

Umaparan G, Nallusamy K, Abdul Wahab MH, Mohammad Nor AM, Mat Arif NA - J Surg Case Rep (2012)

Bottom Line: Trans-mesenteric hernia is a form of internal hernia which is an extremely rare cause of intestinal obstruction in adults compared with the pediatric population.She was found to have a small congenital mesenteric defect with strangulated segment of ileum.The occurrence of trans-mesenteric hernia in adults is rare and difficult to be diagnosed clinically; thus, the patient's clinical features may lead to early surgical intervention in order to reduce morbidity and mortality.

View Article: PubMed Central - HTML - PubMed

Affiliation: Surgery, Ampang General Hospital, Pandan Mewah, Jalan Mewah Utara, Ampang, Selangor, Malaysia umaparan78@yahoo.co.uk.

No MeSH data available.


Related in: MedlinePlus

Ileum herniated through congenital mesenteric defect.
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RJS003F2: Ileum herniated through congenital mesenteric defect.

Mentions: Upon entering the peritoneal cavity, 2 l of hemorrhagic fluid was drained. A loop of ileum had herniated through a small mesenteric defect. A total of 180 cm ileum noted to be gangrenous with loss of peristalsis and absent pulsations (Fig. 1). Terminal ileum and the ileocecal junction were also nonviable. Pulsations of mesenteric vessels were intact. The mesenteric defect measuring 3 × 3 cm located about 4 cm from the mesenteric edge of mid-jejunum. There was no evidence of malrotation. A limited right hemicolectomy with extensive gangrenous small bowel resection was performed and a stapled side-to-side functional anastomosis created. The mesenteric defect mentioned earlier was closed with interrupted sutures. The patient recovered well from the surgery. She was allowed orally on day 3 post surgery (Figs 2–4).Figure 1:


Congenital trans-mesenteric herniation: a rare cause of small intestine strangulation in adults.

Umaparan G, Nallusamy K, Abdul Wahab MH, Mohammad Nor AM, Mat Arif NA - J Surg Case Rep (2012)

Ileum herniated through congenital mesenteric defect.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3852629&req=5

RJS003F2: Ileum herniated through congenital mesenteric defect.
Mentions: Upon entering the peritoneal cavity, 2 l of hemorrhagic fluid was drained. A loop of ileum had herniated through a small mesenteric defect. A total of 180 cm ileum noted to be gangrenous with loss of peristalsis and absent pulsations (Fig. 1). Terminal ileum and the ileocecal junction were also nonviable. Pulsations of mesenteric vessels were intact. The mesenteric defect measuring 3 × 3 cm located about 4 cm from the mesenteric edge of mid-jejunum. There was no evidence of malrotation. A limited right hemicolectomy with extensive gangrenous small bowel resection was performed and a stapled side-to-side functional anastomosis created. The mesenteric defect mentioned earlier was closed with interrupted sutures. The patient recovered well from the surgery. She was allowed orally on day 3 post surgery (Figs 2–4).Figure 1:

Bottom Line: Trans-mesenteric hernia is a form of internal hernia which is an extremely rare cause of intestinal obstruction in adults compared with the pediatric population.She was found to have a small congenital mesenteric defect with strangulated segment of ileum.The occurrence of trans-mesenteric hernia in adults is rare and difficult to be diagnosed clinically; thus, the patient's clinical features may lead to early surgical intervention in order to reduce morbidity and mortality.

View Article: PubMed Central - HTML - PubMed

Affiliation: Surgery, Ampang General Hospital, Pandan Mewah, Jalan Mewah Utara, Ampang, Selangor, Malaysia umaparan78@yahoo.co.uk.

No MeSH data available.


Related in: MedlinePlus