A Transmesenteric Hernia in a Child: Gangrene of a Long Segment of Small Bowel through a Large Mesenteric Defect.
10.4166/kjg.2009.53.5.320
- Author:
Chan Yong PARK
1
;
Jung Chul KIM
;
Soo Jin CHOI
;
Shin Kon KIM
Author Information
1. Department of Surgery, Chonnam National University Medical School, Gwangju, Korea. wkafyddl@hanmail.net
- Publication Type:Case Reports ; Retracted Publication
- Keywords:
Intestinal obstruction;
Internal hernia;
Transmesenteric;
Gangrene;
Child
- MeSH:
Child;
Diagnosis, Differential;
Female;
Gangrene;
Hernia/complications/*diagnosis/radiography;
Humans;
Ileal Diseases/*diagnosis/radiography/surgery;
Intestinal Obstruction/etiology/radiography;
Intestine, Small/*pathology/surgery;
Mesentery;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2009;53(5):320-323
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intestinal obstruction is a common surgical emergency. Transmesenteric hernia is an unusual cause of bowel obstruction that may result in irreversible damage of the bowel and a fatal outcome. Once incarceration of the bowel occurs, strangulation and gangrene follow immediately. The mortality rate associated with this condition is about 15%, but in the presence of gangrene of the bowel, the mortality rate is more than 50%. An accurate preoperative diagnosis of a transmesenteric hernia is very difficult and rarely made. Therefore, in patients with small bowel obstruction, in the absence of a history of previous surgery to suggest adhesions or an external hernia, the possibility of a transmesenteric hernia must be considered. We describe a case with gangrene of a long segment of the small bowel caused by a transmesenteric hernia through a large defect of small bowel mesentery in a child.
