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Transmesocolic internal herniation: a rare case of small bowel obstruction, "the Marrakesh hernia"

Y Narjis1, R Jgounni, M N El Mansouri

  • 1Department of General Surgery, CHU Mohammed VI, Marrakech, Morocco. y.narjis@yahoo.fr

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|September 4, 2009
PubMed

Insights

Internal hernias are rare causes of intestinal obstruction. This case highlights a rare right mesocolon hernia diagnosed with CT and confirmed surgically, with successful recovery.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Imaging

Background:

  • Internal hernias comprise 0.5-5.8% of intestinal obstructions, carrying a high mortality risk.
  • Common types include paraduodenal, pericecal, foramen of Winslow, and intersigmoid hernias.

Observation:

  • A young woman presented with abdominal pain, nausea, and vomiting.
  • Computed tomography (CT) suggested an internal hernia, later confirmed surgically.

Findings:

  • The patient had an extremely rare internal abdominal hernia through the right mesocolon.
  • The right colon lacked peritoneal fixation, contributing to the hernia's occurrence.

Implications:

  • This case underscores the importance of considering rare internal hernias in diagnosing intestinal obstruction.
  • Early diagnosis via CT and surgical confirmation are crucial for favorable outcomes.
  • Successful surgical repair led to full recovery and no recurrence at 12 months.

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