Related Experiment Videos
Small bowel obstruction caused by congenital mesocolic hernia: case report
Thierry Merrot1, Robert Anastasescu, Taras Pankevych
1Department of Pediatric Surgery, Hôpital Nord, Marseille, France.
Journal of Pediatric Surgery
|October 3, 2003
Summary
Transmesocolic internal hernias are rare, with diagnosis challenging even with imaging. This case highlights a rare strangulated hernia in an infant with intestinal malrotation and volvulus.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Medical Imaging
Background:
- Transmesocolic hernias represent an extremely rare congenital anomaly.
- The precise incidence of transmesocolic hernias remains undetermined in medical literature.
Observation:
- A 4-month-old infant presented with symptoms suggestive of an internal hernia.
- Imaging techniques available at the time posed challenges for definitive preoperative diagnosis.
Findings:
- The patient was diagnosed with a transmesocolic internal hernia.
- The hernia was coincident with intestinal malrotation and small bowel volvulus, a rare combination.
Implications:
- This case underscores the diagnostic difficulties associated with rare internal hernias.
- Early recognition and surgical intervention are critical for managing strangulated transmesocolic hernias, especially in infants with associated anomalies.