Congenital trans-mesenteric herniation: a rare cause of small intestine strangulation in adults.
- Resource Type
- Report
- Authors
- Umaparan G; Surgery, Ampang General Hospital, Pandan Mewah, Jalan Mewah Utara, Ampang, Selangor, Malaysia umaparan78@yahoo.co.uk.; Nallusamy K; Surgery, Ampang General Hospital, Pandan Mewah, Jalan Mewah Utara, Ampang, Selangor, Malaysia.; Abdul Wahab MH; Surgery, Ampang General Hospital, Pandan Mewah, Jalan Mewah Utara, Ampang, Selangor, Malaysia.; Mohammad Nor AM; Surgery, Ampang General Hospital, Pandan Mewah, Jalan Mewah Utara, Ampang, Selangor, Malaysia.; Mat Arif NA; Surgery, Ampang General Hospital, Pandan Mewah, Jalan Mewah Utara, Ampang, Selangor, Malaysia.
- Source
- Publisher: Oxford University Press Country of Publication: England NLM ID: 101560169 Publication Model: Electronic Cited Medium: Print ISSN: 2042-8812 (Print) Linking ISSN: 20428812 NLM ISO Abbreviation: J Surg Case Rep Subsets: PubMed not MEDLINE
- Subject
- Language
- English
- ISSN
- 2042-8812
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. It often presents with complications such as acute intestinal obstruction and peritonitis requiring immediate surgical intervention. We report a case of a 21-year-old woman who presented to us with an acute abdomen and peritonitis that required an immediate exploratory laparotomy. She was found to have a small congenital mesenteric defect with strangulated segment of ileum. Gangrenous portion of the ileum was resected and the congenital defect was closed. The patient made an uneventful recovery. 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.
(Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2012.)