1.A Transmesenteric Hernia in a Child: Gangrene of a Long Segment of Small Bowel through a Large Mesenteric Defect.
Chan Yong PARK ; Jung Chul KIM ; Soo Jin CHOI ; Shin Kon KIM
The Korean Journal of Gastroenterology 2009;53(5):320-323
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.
Child
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Diagnosis, Differential
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Female
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Gangrene
;
Hernia/complications/*diagnosis/radiography
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Humans
;
Ileal Diseases/*diagnosis/radiography/surgery
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Intestinal Obstruction/etiology/radiography
;
Intestine, Small/*pathology/surgery
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Mesentery
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Tomography, X-Ray Computed
2.Severe Mesenteric Hemorrhagic Infarction by Superior Mesenteric Arterial Occlusion in a Patient with Buerger's Disease.
Kyeong Sam OK ; You Sun KIM ; Seong Woo HONG ; Hye Kyung LEE
The Korean Journal of Gastroenterology 2013;61(4):234-236
No abstract available.
Arterial Occlusive Diseases/complications/*diagnosis/radiography
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Hemorrhage
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Humans
;
Ileal Diseases/radiography/surgery
;
Ileocecal Valve/blood supply
;
Infarction/pathology/*surgery
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Male
;
Mesenteric Artery, Superior/*radiography
;
Middle Aged
;
Thromboangiitis Obliterans/complications/*diagnosis
;
Tomography, X-Ray Computed