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Case Reports
. 2013 Mar 28;19(12):1997-9.
doi: 10.3748/wjg.v19.i12.1997.

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

Peel Jung  1 , Min Dae Kim, Tae Hyun Ryu, Sung Ho Choi, Han Se Kim, Kang Hun Lee, Jhong Hyun Park
Affiliations
Case Reports

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

Peel Jung et al. World J Gastroenterol. .

Abstract

Transmesenteric hernias have bimodal distribution and occur in both pediatric and adult patients. In the adult population, the cause is iatrogenic, traumatic, or inflammatory. We report a case of transmesocolic hernia in an elderly person without any preoperative history. An 84-year-old Korean female was admitted with mid-abdominal pain and distension for 1 d. On abdominal computed tomography, we diagnosed transmesocolic hernia with strangulated small bowel obstruction, and performed emergency surgery. The postoperative period was uneventful and she was discharged 11 d after surgery. Hence, it is important to consider the possibility of transmesocolic hernia in elderly patients with signs and symptoms of intestinal obstruction, even in cases with no previous surgery.

Keywords: Abdominal computed tomography; Internal hernia; Operation; Small bowel obstruction; Strangulation; Transmesocolic hernia.

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Figures

Figure 1
Figure 1
Abdominal computed tomography findings. Crowded small bowel loop (from distal jejunum to proximal ileum) with circumferential wall thickening and decreased enhancement in the middle and lower abdomen, stretched mesenteric vessels with mesenteric edema. A: Sagittal view; B: Transverse view.
Figure 2
Figure 2
Intraoperative findings. Herniated small intestine with strangulation by perforated omentum (arrow) below the transverse colon.
See this image and copyright information in PMC

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