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

BMC Surgery

Dharmabandhu N Samarasekera³  Chathuranga Tisara Keppetiyagama¹  Duminda Subasinghe² 

[1] Gastrointestinal Surgery, University Surgical Unit, The National Hospital of Sri Lanka, Colombo, Sri Lanka;General Surgery, University Surgical Unit, The National Hospital of Sri Lanka, Colombo, Sri Lanka;University Surgical Unit, The National Hospital of Sri Lanka, 28/1, Ishwari road, Colombo, Colombo 06, Sri Lanka

关键词: Intestinal obstruction;    Transmesocolic;    Internal hernia;   

Others  :  1204299
DOI  :  10.1186/s12893-015-0051-z

 received in 2015-02-11, accepted in 2015-05-04,  发布年份 2015

【 摘 要 】

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.

【 授权许可】

   
2015 Subasinghe et al.; licensee BioMed Central.

【 图 表 】

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