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Updated: Jun 4, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Small bowel obstruction caused by transmesenteric hernia in a patient with complex medical history: a case report
Karim Ahmad Y1, Herber Alexia1, Kotikalapudi Sivarama2
1Internal Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, United States.
Abstract:
This case report presents a rare instance of small bowel obstruction due to a transmesenteric hernia in a 47-year-old male with a complex medical history. The patient presented with acute abdominal pain, constipation, and urinary retention. Diagnostic laparoscopy revealed bowel ischemia, and open laparotomy confirmed a transmesenteric hernia with necrotic small bowel requiring resection. Postoperative recovery was uneventful, and the patient was discharged with follow-up plans. This case underscores the importance of considering internal abdominal hernias in the differential diagnosis of acute abdominal pain.
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