Congenital Mesenteric Defect: A Rare Cause of Intestinal Perforation

Shrivastava, Bijal M; Parikh, Ketan; Bakshi, Farhana

doi:10.1007/s12098-016-2222-z

Cited by 3 publications

(2 citation statements)

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“…In the same essay, Federschmidt found 83 cases of patients with mesenteric defects in literature: 52 defects of the small intestine's mesentery and 31 cases of the large intestine's mesentery, with incarceration being the most frequent complication [5]. In 1980, Janin et al collected 139 reports of acute intestinal obstruction secondary to an idiopathic mesenteric hernia in a review work [10], but more recent case reports are also available [17]. As a result, we should be getting aware of the fact that mesenteric defects can occur more often than suspected.…”

Section: Discussionmentioning

confidence: 99%

“…Acute bowel obstruction in children without prior surgical history can be evoked by an incarcerated inguinal hernia, ingestion of foreign bodies, or less often by a volvulus triggered by malrotation. Unusual cases of acute bowel obstruction due to internal hernia caused by a remaining omphaloenteric duct or mesenteric hernia have been published [10,11,17,21].…”

Section: Introductionmentioning

confidence: 99%

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Case Report: 7-Year-Old Boy with Incarcerated Internal Hernia Leading to Extensive Intestinal Necrosis Due to a Large Congenital Mesenteric Defect

et al. 2021

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We present a case of a 7-year-old boy with acute abdominal symptoms initially misdiagnosed as constipation. Delayed imaging diagnostics revealed an ileus with contorted small intestine, so laparotomy was indicated. An acute bowel obstruction was found based on an incarcerated internal hernia. Small and large bowel segments were incarcerated into a large mesenteric defect leading to extended intestinal necrosis. About 30 cm of necrotic small bowel and 15 cm of large intestine were resected, two primary anastomoses were performed. The mesenteric defect was closed with two running sutures. The boy’s clinical outcome was very good. Two aspects are discussed: the initial clinical misdiagnosis of acute bowel obstruction in a child leading to a delay of diagnostics and therapy on the one hand and the origin of mesenteric defects on the other. In children with abdominal pain, ultrasound must be performed as soon as possible and pediatric surgeons have to be involved early. There should be an awareness of the fact, that mesenteric defects and other congenital malformations can occur more often than we suspect it. In the case of an internal hernia, a misjudgement of the clinical condition may be very harmful for the patient and can lead to a short bowel syndrome or even death.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%