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[Congenital transmesenteric hernia].

Carlos Baeza-Herrera1, Héctor Sanjuan-Fabián, Jesús Salinas-Montes

  • 1Departamento de Cirugía, Hospital Pediátrico Moctezuma.

Cirugia Y Cirujanos
|August 18, 2004
PubMed
Summary

Congenital transmesenteric hernias are rare causes of acute intestinal obstruction, often presenting with gangrene and peritonitis. Surgical intervention is essential for these challenging diagnoses.

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Abdominal Radiology

Background:

  • Congenital defects in the small bowel mesentery causing acute intestinal obstruction are rare.
  • The terminal ileum mesentery is the most common site for these congenital defects.

Purpose of the Study:

  • To review cases of small bowel obstruction caused by congenital transmesenteric hernias.
  • To highlight the diagnostic challenges and management of this rare condition.

Main Methods:

  • Retrospective review of five cases of small bowel obstruction.
  • Analysis of patient demographics, clinical presentation, surgical findings, and outcomes.

Main Results:

  • All five patients presented with intestinal obstructive disease, small bowel gangrene, and peritonitis.

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  • Four of the five patients were male.
  • Mortality rate was 40% (two deaths).

    • Conclusions:

    • Diagnosis of congenital transmesenteric hernias is challenging.
    • Many cases are incidental findings during laparotomy.
    • Urgent surgical treatment is mandatory for this condition.