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Post-operative transmesosigmoid hernia causing small bowel obstruction: a case report
Robleh Hassan Farah1, Yassine Fahmi1, Driss Khaiz1
1Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
The Pan African Medical Journal
|July 16, 2015
Summary
Internal hernia, a rare cause of small bowel obstruction, can occur even without prior abdominal surgery. Prompt diagnosis and surgical repair lead to successful outcomes and symptom resolution.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Internal hernia is an uncommon etiology of small bowel obstruction.
- Transmesosigmoid hernia represents a rare subtype, with limited literature documenting its occurrence.
Observation:
- A 44-year-old male presented with acute abdominal pain and signs of small intestinal obstruction.
- Initial assessment suggested postoperative adhesions, but laparotomy revealed an internal hernia as the cause.
Findings:
- The internal hernia was successfully reduced during laparotomy.
- The mesenteric defect was closed with interrupted sutures, resolving the obstruction.
Implications:
- This case underscores the importance of considering internal hernia in all patients with small bowel obstruction, regardless of surgical history.
- A high index of suspicion is crucial for timely diagnosis and effective management of this rare condition.
