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Mesenteric hernia

Y Janin, A M Stone, L Wise

    Surgery, Gynecology & Obstetrics
    |May 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Idiopathic internal hernias can cause acute intestinal obstruction. Early diagnosis is crucial, especially with chronic abdominal pain and a palpable mass, to prevent strangulation and improve outcomes.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Internal hernias are a rare cause of intestinal obstruction.
    • Idiopathic mesenteric hernias present diagnostic challenges.

    Purpose of the Study:

    • To review the incidence, etiology, pathogenesis, clinical manifestations, diagnosis, treatment, and mortality of acute intestinal obstruction secondary to idiopathic mesenteric hernia.

    Main Methods:

    • Systematic literature review of 139 reported cases.

    Main Results:

    • Acute intestinal obstruction with strangulation, without external hernia or prior surgery, should raise suspicion for internal hernia.
    • Chronic intermittent abdominal distress and a palpable abdominal mass are key indicators.

    Conclusions:

    • Idiopathic mesenteric hernias are a critical consideration in acute intestinal obstruction.
    • Timely diagnosis and intervention are vital for reducing mortality.