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

BMC Surgery

Case Report

Chathuranga Tisara Keppetiyagama¹  Duminda Subasinghe²  Dharmabandhu N Samarasekera³ 

[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 06, Colombo, Sri Lanka;

关键词: Internal hernia;    Transmesocolic;    Intestinal obstruction;   

DOI  :  10.1186/s12893-015-0051-z

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

来源: Springer

【 摘 要 】

BackgroundInternal 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 presentationA 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.ConclusionThe 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】

Unknown   
© Subasinghe et al.; licensee BioMed Central. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.