Small bowel obstruction caused by congenital transmesenteric defect

Autor: Nouira F, Dhaou Ben, Charieg A, Ghorbel S, Jlidi S, Chaouachi B
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: African Journal of Paediatric Surgery, Vol 8, Iss 1, Pp 75-78 (2011)
Druh dokumentu: article
ISSN: 0189-6725
0974-5998
Popis: Transmesenteric hernias are extremely rare. A strangulated hernia through a mesenteric opening is a rare operative finding. Preoperative diagnosis still is difficult in spite of the imaging techniques currently available. The authors describe two cases of paediatric patients presenting with bowel obstruction resulting from a congenital mesenteric hernia. The first patient had a 3-cm wide congenital defect in the ileal mesentery through which the sigmoid colon had herniated. The second patient is a newborn infant who presented with symptoms and radiographic evidence of neonatal occlusion. At surgical exploration, a long segment of the small bowel had herniated in a defect in the ileal mesentery. A brief review of epidemiology and anatomy of transmesenteric hernias is included, along with a discussion of the difficulties in diagnosis and treatment of this condition.
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