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Updated: May 11, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Post traumatic acquired multiple mesenteric defects.

Hager Aref¹, Bandar Felemban

¹Department of Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia.

International Journal of Surgery Case Reports

|April 30, 2013

Summary

Internal intestinal hernia, a rare cause of small-bowel obstruction, can result from mesenteric defects. Early surgical intervention is crucial for patients with suspected mesenteric defects following abdominal trauma to improve outcomes.

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Last Updated: May 11, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Area of Science:

Gastroenterology
Abdominal Surgery
Radiology

Background:

Internal intestinal hernia is defined as intestines bulging through peritoneal or mesenteric openings, a rare cause of small-bowel obstruction (0.2-0.9%).
Acquired mesenteric defects are more common in adults than congenital ones, often resulting from bowel surgery or abdominal trauma.

Purpose of the Study:

To highlight the diagnostic challenges and management of internal intestinal hernia secondary to mesenteric defects.
To emphasize the importance of considering mesenteric injuries in patients with a history of abdominal trauma presenting with recurrent small-bowel obstruction.

Main Methods:

A case report detailing a patient with multiple episodes of intestinal obstruction.
Diagnostic workup included abdominal CT scan revealing signs of small bowel obstruction and suspected mesenteric defect.
Surgical exploration (laparotomy) confirmed multiple mesenteric defects.

Main Results:

The patient presented with recurrent small-bowel obstruction without a history of similar symptoms but with recent abdominal trauma.
Abdominal CT indicated a mesenteric defect, prompting surgical intervention.
Laparotomy revealed multiple mesenteric defects as the cause of obstruction.

Conclusions:

Post-traumatic mesenteric injuries can be missed in conservatively managed trauma cases, leading to delayed diagnosis of internal hernias.
High index of suspicion and prompt surgical intervention are essential for patients with suspected mesenteric defects to decrease morbidity and improve survival.
Non-operative management decisions in trauma cases should follow the exclusion of associated injuries, particularly mesenteric ones.