The occurrence of a strangulated ileus due to a traumatic transmesenteric hernia: report of a case.

Abstract:

:We report herein the case of a 6-year-old boy in whom a strangulated ileus was caused by a traumatic transmesenteric hernia. The boy had fallen from his bicycle and suffered a severe blow to the abdomen. Abdominal pain and vomiting developed 10 h after the accident and he was admitted to our hospital. Abdominal ultrasonogram and computed tomogram demonstrated ascites, intestinal wall thickening with fluid, and an engorged radiating mesenteric vasculature. Thus, an emergency laparotomy was performed which revealed bloody ascites, a strangulated ileus, and torsion with a transmesenteric hernia. The necrotic intestine was resected and an anastomosis was performed. Macroscopic and microscopic findings revealed a traumatic mesenteric rent. The unusual presentation of this case is discussed.

journal_name

Surg Today

journal_title

Surgery today

authors

Kuga T,Taniguchi S,Inoue T,Zempo N,Esato K

doi

10.1007/s005950070126

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

548-50

issue

6

eissn

0941-1291

issn

1436-2813

pii

10.1007/s005950070126

journal_volume

30

pub_type

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