Jejunal obstruction due to a variant of transmesocolic hernia: a rare presentation of an acute abdomen.

Abstract:

BACKGROUND:Internal hernias include paraduodenal, pericecal, through foramen of Winslow, intersigmoid and retroanastomotic hernias. These hernias could be either congenital or acquired after abdominal surgery. They account for approximately 0.5-5 % of all cases of intestinal obstruction. CASE PRESENTATION:A 48-year-old female was admitted to casualty with a history of abdominal distension and vomiting of 3 days duration. An abdominal X-ray supine film showed multiple small bowel loops with air fluid levels. On surgery she was found to have a transmesocolic hernia. The defect in the transverse mesocolon was repaired. CONCLUSION:The clinical signs and symptoms of lesser sac hernia are non-specific. These rare lesser sac hernias can be lethal. Therefore, immediate diagnosis and surgery is essential. Although a rare entity, they account for significant mortality form intestinal obstruction. We report an extremely rare case of an internal abdominal hernia through the transverse mesocolon, in a young woman.

journal_name

BMC Surg

journal_title

BMC surgery

authors

Subasinghe D,Keppetiyagama CT,Samarasekera DN

doi

10.1186/s12893-015-0051-z

subject

Has Abstract

pub_date

2015-05-08 00:00:00

pages

57

issn

1471-2482

pii

10.1186/s12893-015-0051-z

journal_volume

15

pub_type

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