Hemorrhagic Infarction of the Small Intestine due to Transmesenteric Hernia in an Adolescent: A Case Report.
10.7580/KoreanJLegMed.2012.36.1.102
- Author:
Minsung CHOI
1
;
Jong Hyeok PARK
;
Seok Hoon JEON
;
Han Young LEE
;
Joong Seok SEO
;
Hyoung Joong KIM
Author Information
1. Division of Forensic Medicine, National Forensic Service, Seoul, Korea. giifpap@korea.kr
- Publication Type:Case Report
- Keywords:
transmesenteric hernia;
hemorrhagic infarction;
small intestine;
sudden death;
adolescent
- MeSH:
Abdominal Pain;
Adolescent;
Adult;
Autopsy;
Death, Sudden;
Hernia;
Humans;
Infarction;
Intestine, Small;
Mesentery;
Nausea;
Physical Examination
- From:Korean Journal of Legal Medicine
2012;36(1):102-106
- CountryRepublic of Korea
- Language:English
-
Abstract:
Transmesenteric hernia is so infrequent that sudden unexpected death due to this condition is a very rare occurrence. Because the disease usually occurs in pediatric populations, it is a very rarely observed in adolescents or adults. We report an autopsy case of transmesenteric hernia diagnosed postmortem in an 18-year-old boy who died suddenly after complaining of acute abdominal pains with nausea. Physical examinations, simple abdominal radiographs, and abdominal CT scans failed to provide a clear diagnosis of the illness for 37 h in the hospital. At autopsy, a small round defect of the small bowel mesentery was found, through which a long segment of the small intestine herniated, accompanied by hemorrhagic infarction induced by strangulation obstruction. We would like to present and review this rare autopsy case with medicolegal viewpoints.
