Malrotation of Gut with Internal Mesocolic Hernia Mimicking Mesenteric Cyst

Jafor, MA; Ahmed, SM Safir Uddin; Islam, Anwarul; Siddiqui, AB; Bari, Iqbal

doi:10.3329/taj.v14i2.8395

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2019

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“…In the literature, there are many reported cases of a mesosigmoid hernia among adults 3. After a thorough search of the English literature, we found 10 cases of congenital mesocolic hernia in the paediatric age group (age <14 years) 4–12. Only one case was a neonate among these 10 cases, who had an acute intestinal obstruction due to a transmesocolic defect.…”

Section: Discussionmentioning

confidence: 99%

Congenital sigmoid mesocolic defect as a cause of neonatal intestinal obstruction

Sharma

Dhua²,

Thomas

et al. 2019

BMJ Case Rep

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Internal herniation through congenital sigmoid mesocolic defect as a cause of neonatal intestinal obstruction is rarely reported. Clinical judgement combined with judicious use of investigations and prompt exploration is essential to provide immediate relief of the obstruction and salvage the herniated loop of bowel, which otherwise might lead to morbidity and even death. We present a neonate with internal herniation of the ileum through a congenital mesocolic defect which was diagnosed by a prompt abdominal exploration in view of persistent clinical signs of intestinal obstruction. The relevant literature is also discussed highlighting the rarity of neonatal presentation of sigmoid mesocolic defect.

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Section: Discussionmentioning

confidence: 99%