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
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Hernia/complications/*diagnosis/radiography
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Humans
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Ileal Diseases/*diagnosis/radiography/surgery
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Intestinal Obstruction/etiology/radiography
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Intestine, Small/*pathology/surgery
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Mesentery
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Tomography, X-Ray Computed
2.Strangulated Small Bowel Obstruction Following Endoscopic Retrograde Cholangiopancreatography.
Do Young KIM ; Yong Jin KIM ; Tae Yoon LEE ; Chan Sup SHIM ; Hyun Ah CHUNG ; In Sung SON ; Young Koog CHEON
The Korean Journal of Internal Medicine 2012;27(3):363-365
No abstract available.
Abdominal Pain/etiology
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Aged, 80 and over
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Cholangiopancreatography, Endoscopic Retrograde/*adverse effects
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Female
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Humans
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Ileal Diseases/etiology/radiography/surgery
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Intestinal Obstruction/*etiology/radiography/surgery
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Tomography, X-Ray Computed
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Treatment Outcome