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05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Congenital transmesenteric defect causing bowel strangulation in an adult
1Department of Surgery, Komfo Anokye Teaching Hospital, P.O. Box 1934, Kumasi, Ghana. drgyedu@gmail.com
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|January 22, 2010
Summary
Congenital transmesenteric hernias are rare internal hernias causing intestinal obstruction, particularly in adults. Early surgical intervention is crucial due to diagnostic challenges and risk of bowel necrosis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Congenital transmesenteric hernias are uncommon internal hernias.
- They are a rare cause of intestinal obstruction, with adult cases being exceptionally rare.
Observation:
- A 22-year-old male presented with acute abdominal pain and shock.
- Laparotomy revealed a congenital transmesenteric defect with strangulated bowel.
Findings:
- The patient underwent bowel resection and anastomosis due to gangrene.
- Preoperative diagnosis of congenital internal hernias is challenging due to non-specific symptoms and lack of definitive radiographic findings.
Implications:
- Congenital internal hernias should be suspected in patients with bowel obstruction without prior surgery, trauma, or inflammatory conditions.
- Early surgical exploration is recommended to prevent complications like small bowel necrosis and mortality.
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