Open AccessTransmesocolic hernia with strangulation in a patient without surgical history: Case report
Author(s) -
Phill Gu Jung,
Min Dae Kim,
Tae Hyun Ryu,
Sung Ho Choi,
Han Se Kim,
Kang Hun Lee,
Jhong Hyun Park
Publication year - 2013
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v19.i12.1997
Subject(s) - medicine , abdominal distension , surgery , hernia , bowel obstruction , distension , abdominal pain , abdominal computed tomography , general surgery , emergency surgery , abdominal surgery
Transmesenteric hernias have bimodal distribution and occur in both pediatric and adult patients. In the adult population, the cause is iatrogenic, traumatic, or inflammatory. We report a case of transmesocolic hernia in an elderly person without any preoperative history. An 84-year-old Korean female was admitted with mid-abdominal pain and distension for 1 d. On abdominal computed tomography, we diagnosed transmesocolic hernia with strangulated small bowel obstruction, and performed emergency surgery. The postoperative period was uneventful and she was discharged 11 d after surgery. Hence, it is important to consider the possibility of transmesocolic hernia in elderly patients with signs and symptoms of intestinal obstruction, even in cases with no previous surgery.