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Case Reports
. 2013 Dec 6;2013(12):rjt099.
doi: 10.1093/jscr/rjt099.

A transmesenteric congenital internal hernia presenting in an adult

Hellen McK Edwards  1 , Haytham Al-Tayar  2
Affiliations
Case Reports

A transmesenteric congenital internal hernia presenting in an adult

Hellen McK Edwards et al. J Surg Case Rep. .

Abstract

Congenital internal hernias (CIAHs) are a rare cause of small bowel obstruction in adults. We present a case of transmesenteric CIAH in a 32-year-old male. The clinical examination and computed tomography scan were interpreted as intestinal obstruction, and only an emergency laparotomy revealed that 1 m of small bowel herniated through a 2 cm defect in the mesentery of the transverse colon. Repair of the defect was performed using interrupted suturing, and the patient was discharged after 4 days without sequelae.

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Figures

Figure 1:
Figure 1:
Coronal view of preoperative abdominal CT scan demonstrating encapsulated dilated small intestines in the right upper quadrant with pneumatosis intestinalis.
Figure 2:
Figure 2:
Sagittal view of preoperative abdominal CT scan demonstrating encapsulated dilated small intestines in the right upper quadrant with pneumatosis intestinalis.
Figure 3:
Figure 3:
Intra-operative picture of distended but vital small bowel.
See this image and copyright information in PMC

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