Transmesocolic hernia with strangulation in a patient without surgical history: Case report

Jung, Phill Gu; Kim, Min Dae; Ryu, Tae Hyun; Choi, Sung Ho; Kim, Han Se; Lee, Kang Hun; Park, Jhong Hyun

doi:10.3748/wjg.v19.i12.1997

Cited by 9 publications

(15 citation statements)

References 10 publications

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“…IHs run a risk of strangulation and ischemia, which can be life-threatening. This risk is particularly profound in transmesocolic hernias, which account for up to 40% of all IHs strangulation [ 10 ]. The diagnosis of IH is dependent on CT imaging.…”

Section: Discussionmentioning

confidence: 99%

Post-trauma transmesocolic hernia: a case report

Salam

Al‐Tarakji

Al-Aieb

et al. 2020

Journal of Surgical Case Reports

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The prevalence of transmesocolic hernias, a subtype of internal hernias (IHs), is generally low. Its clinical consequences, including strangulation, ischemia and even death, however, necessitate awareness. IHs are classified as congenital or acquired as resulting from surgery, trauma or intraperitoneal inflammation. This is a case of a 37-year-old male victim of a motor vehicle collision 1 month prior to the index admission. The trauma-related injuries were managed conservatively and then discharged home. The patient was re-admitted with a 2-day history of epigastric pain, vomiting and abdominal distension. A diagnosis of small bowel obstruction due to a transmesocolic hernia was made on CT and emergency laparotomy performed. The post-operative course was unremarkable. It is vital to consider transmesocolic hernias in trauma patients presenting with a picture of bowel obstruction even in the absence of prior surgery.

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Section: Discussionmentioning

confidence: 99%

Post-trauma transmesocolic hernia: a case report

Salam

Al‐Tarakji

Al-Aieb

et al. 2020

Journal of Surgical Case Reports

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“…Certain CT features represented by clustering of dilated small bowel peripherally without overlying Omentum and leading to colonic displacement centrally may be suggestive of transmesenteric hernias [8]. However, final diagnosis will only be confidently achieved intraoperatively [3, 9].…”

Section: Discussionmentioning

confidence: 99%

“…An early intervention is recommended to prevent unnecessary bowel resections and even death [1, 3, 8]. Our patient was operated on within 1 h of transfer to our centre and thus we prevented ischemia and avoided bowel resection.…”

Section: Discussionmentioning

confidence: 99%

Incarcerated congenital transmesenteric hernia in an adult: a case report

Alhayo¹,

Gosal

Shakeshaft

2017

Journal of Surgical Case Reports

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Transmesenteric hernia is a rare cause of bowel obstruction and strangulation. It can be due to iatrogenic injury, trauma, inflammatory and less likely congenital. We present a case of true congenital transmesenteric hernia in a 26-year-old male with no previous surgical history or trauma. The patient presented acutely with no prior symptoms. Investigations provided limited information towards the diagnosis of the hernia, but suggestive of mid-gut volvulus. Emergency laparotomy was performed to find >75% of small bowel herniating through a proximal jejunal mesenteric defect leading to incarceration and early strangulation. No resection was required and patient recovered well. This case presents yet another rare pathology and highlights the importance of keeping a low threshold for operative intervention in uncertain cases.

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“…Así, la herniación puede darse de diferentes maneras: a través de un orificio natural (v.g. foramen de Winslow); a través de un defecto paranormal en la unión entre el mesenterio y el peritoneo (hernias paraduodenal o pericecal); por un defecto del mesenterio (hernias transmesentérica, transomental o pélvi-ca) (18); por combinaciones de algunas de ellas (19,20) y aun por el paso del contenido herniario a través de defectos anatómicos exóticos (21)(22)(23). Para las HI relacionadas con el colon sigmoide, Benson (24) propuso, desde 1964, una subdivisión específica en intersigmoidea,…”

Section: Discussionunclassified

Hernia transmesentérica. Revisión del tema a raíz de un caso exótico de infarto intestinal en un adulto

Cabrales-Vega

2015

iatreia

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Introducción: la hernia transmesentérica (HT) es una causa extremadamente rara de isquemia intestinal en adultos, con pocos casos reportados en la literatura.Presentación del caso: un hombre de 71 años presentó dolor epigástrico severo de seis horas de evolución, sin signos de obstrucción intestinal ni historia de cirugías abdominales previas. Ante el deterioro clínico se hizo una laparotomía que reveló un defecto transmesentérico de 4 cm en el yeyuno y herniación de ciento noventa cm de intestino delgado con signos de gangrena. Se efectuaron reducción del contenido, resección intestinal y anatomosis primaria. La recuperación fue exitosa y fue dado de alta diez días después del ingreso.Discusión: los síntomas clínicos, los estudios radiológicos y los datos de laboratorio suelen ser inespecíficos para el diagnóstico de HT. La tasa de mortalidad puede superar el 50 %. Este artículo resume las características clínicas más importantes a partir de una revisión exhaustiva de la literatura.Conclusión: la obstrucción intestinal por HT es una condición potencialmente letal. Los signos y síntomas clínicos relacionados con HT exigen un estricto seguimiento. Si no hay mejoría o se presenta deterioro clínico, se debe hacer una cirugía temprana con el fin de reducir la mortalidad y la morbilidad por esta causa. PALABRAS CLAVEDefecto Mesentérico; Hernia Interna; Hernia Transmesentérica; Obstrucción Intestinal SUMMARY Transmesenteric hernia. A literature review following an exotic case of intestinal infarction in an adult Introduction: Transmesenteric hernia (TH) is an extremely rare cause of bowel ischaemia in adults with few reported cases.

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Transmesocolic hernia with strangulation in a patient without surgical history: Case report

Cited by 9 publications

References 10 publications

Post-trauma transmesocolic hernia: a case report

Post-trauma transmesocolic hernia: a case report

Incarcerated congenital transmesenteric hernia in an adult: a case report

Hernia transmesentérica. Revisión del tema a raíz de un caso exótico de infarto intestinal en un adulto

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