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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Post-trauma transmesocolic hernia: a case report.

Doaa Hussin Salam1, Mohannad Al-Tarakji1, Abubaker Ibrahim Alaieb2

  • 1Department of Surgery, Acute Surgery Care, Hamad General Hospital, Doha, Qatar.

Journal of Surgical Case Reports
|October 30, 2020
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Summary
This summary is machine-generated.

Transmesocolic hernias, a rare internal hernia type, can cause serious complications. Awareness is crucial, especially in trauma patients presenting with bowel obstruction symptoms, even without prior surgery.

Keywords:
internal herniatransmesocolictrauma

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Area of Science:

  • Gastroenterology
  • Surgical Case Report

Background:

  • Internal hernias (IHs) are uncommon, with transmesocolic hernias being a specific subtype.
  • IHs can be congenital or acquired, often linked to surgery, trauma, or inflammation.

Observation:

  • A 37-year-old male presented with symptoms of small bowel obstruction (epigastric pain, vomiting, distension) one month after a motor vehicle collision.
  • Initial trauma injuries were managed conservatively.

Findings:

  • Computed tomography (CT) diagnosed a transmesocolic hernia as the cause of obstruction.
  • Emergency laparotomy was performed for surgical correction.

Implications:

  • This case highlights the importance of considering transmesocolic hernias in trauma patients with bowel obstruction symptoms.
  • Early diagnosis and intervention are critical to prevent complications like strangulation and ischemia.