Congenital Transmesenteric Hernia—Importance of a Timely Intervention
Autor: | Mandar Koranne, Amay Banker |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Abdominal pain Exploratory laparotomy medicine.medical_treatment lcsh:Surgery Case Report transmesenteric hernia 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Hernia Superior mesenteric vein business.industry superior mesenteric vein compression lcsh:RD1-811 medicine.disease digestive system diseases Surgery Bowel obstruction 030220 oncology & carcinogenesis Vomiting Etiology 030211 gastroenterology & hepatology medicine.symptom business |
Zdroj: | The Surgery Journal, Vol 06, Iss 02, Pp e98-e100 (2020) The Surgery Journal |
ISSN: | 2378-5136 2378-5128 |
DOI: | 10.1055/s-0040-1710533 |
Popis: | Transmesenteric hernia is a rare cause of small bowel strangulation in adults. Our patient was a 61-year-old previously healthy male, who presented with vomiting and abdominal pain with no surgical history and no trauma in the past. Computed tomography with contrast enhancement was suggestive of superior mesenteric vein (SMV) compression without any obvious cause. The emergency exploratory laparotomy revealed venous congestion of small bowel caused by a transmesenteric hernia with the herniated loop compressing the SMV. On reducing the hernia, complete reversal of the bowel congestion was noted and small bowel resection was averted. A high index of suspicion for a transmesenteric hernia in small bowel obstruction of unknown etiology and a timely surgical intervention are must for a good clinical outcome. |
Databáze: | OpenAIRE |
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