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Right sided transmesentric hernia: A rare cause of acute abdomen in adults

Kaundinya Kiran Bharatam1, C Kaliyappa1, Raja Raghavendra Reddy1

  • 1Sri Ramachandra Medical College, Chennai, India.

International Journal of Surgery Case Reports
|December 2, 2014
PubMed
Abstract

Insights

Transmesenteric hernias, a rare cause of acute abdomen, require a high index of suspicion for timely diagnosis and surgical intervention. Early detection through CT scans and close patient monitoring is crucial for optimal outcomes in these surgical emergencies.

Area of Science:

  • Abdominal Surgery
  • Gastroenterology
  • Radiology

Background:

  • Transmesenteric mesocolic hernias are an uncommon cause of acute abdomen in adults.
  • Published literature contains limited case reports on this condition.

Purpose of the Study:

  • To report a rare case of transmesenteric hernia presenting as acute abdomen.
  • To highlight diagnostic and management considerations for this surgical emergency.

Main Methods:

  • Case report of a 30-year-old male with a right-sided transmesenteric hernia.
  • Surgical reduction of the hernia, inspection of the small bowel, and repair of the mesenteric defect.

Main Results:

  • The patient presented with acute abdomen due to a congenital mesocolic defect.
  • Successful hernia reduction and repair led to good recovery.
  • Patient discharged 5 days post-surgery.

Conclusions:

  • Transmesenteric hernias can present insidiously as acute abdomen.
  • Diagnosis relies heavily on CT scans and clinical suspicion.
  • Prompt surgical intervention is vital for favorable outcomes.
Keywords:
Acute abdomen – colicAdultGangreneInternal herniasIntestinal obstructionRight sided transmesenteric hernia

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