Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Surgery
Published in: BMC Surgery 1/2015

Open Access 01-12-2015 | Case report

Jejunal obstruction due to a variant of transmesocolic hernia: a rare presentation of an acute abdomen

Authors: Duminda Subasinghe, Chathuranga Tisara Keppetiyagama, Dharmabandhu N Samarasekera

Published in: BMC Surgery | Issue 1/2015

Login to get access

Abstract

Background

Internal hernias include paraduodenal, pericecal, through foramen of Winslow, intersigmoid and retroanastomotic hernias. These hernias could be either congenital or acquired after abdominal surgery. They account for approximately 0.5-5 % of all cases of intestinal obstruction.

Case presentation

A 48-year-old female was admitted to casualty with a history of abdominal distension and vomiting of 3 days duration. An abdominal X-ray supine film showed multiple small bowel loops with air fluid levels. On surgery she was found to have a transmesocolic hernia. The defect in the transverse mesocolon was repaired.

Conclusion

The clinical signs and symptoms of lesser sac hernia are non-specific. These rare lesser sac hernias can be lethal. Therefore, immediate diagnosis and surgery is essential. Although a rare entity, they account for significant mortality form intestinal obstruction. We report an extremely rare case of an internal abdominal hernia through the transverse mesocolon, in a young woman.
Literature
1.
Meyers MA. Dynamic radiology of the abdomen:normal and pathologic anatomy. 4th ed. New York, NY: Springer; 1994.CrossRef
2.
Newsom BD, Kukora JS. Congenital and acquired internal hernias: unusual causes of small bowel obstruction. Am J Surg. 1986;152:279–85.CrossRefPubMed
3.
Gomes R, Rodrigues J. Spontaneous adult transmesenteric hernia with bowel gangrene. Hernia. 2011;15:343–5.CrossRefPubMed
4.
Agresta F, Mazzarolo G, Bedin N. Incarcerated internal hernia of the small intestine through a re-approximated peritoneum after a trans-abdominal pre-peritoneal procedure – apropos of two cases: review of the literature. Hernia. 2011;15:347–50.CrossRefPubMed
5.
Parsons PB. Paraduodenal hernias. Am J Roentgenol Radium Ther Nucl Med. 1953;69:563–89.PubMed
6.
Frediani S, Almberger M, Iaconelli R, Avventurieri G, Manganaro F. An unusual case of congenital mesocolic hernia. Hernia. 2010;14:105–7.CrossRefPubMed
7.
Li JC, Chu DW, Lee DW, Chan AC. Small-bowel intestinal obstruction caused by an unusual internal hernia. Asian J Surg. 2005;28:62–4.CrossRefPubMed
8.
Okayasu K, Tamamoto F, Nakanishi A, Takanashi T, Maehara T. A case of incarcerated lesser sac hernia protruding simultaneously through both the gastrocolic and gastrohepatic omenta. Radiat Med. 2002;20:105–7.PubMed
9.
Blachar A, Federle MP, Dodson SF. Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology. 2001;218:68–74.CrossRefPubMed
10.
Blachar A, Federle MP, Brancatelli G, Peterson MS, Oliver 3rd JH, Li W. Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on transmesenteric hernia. Radiology. 2001;221:422–8.CrossRefPubMed
11.
Uchiyama S, Imamura N, Hidaka H, Maehara N, Nagaike K, Ikenaga N, et al. An unusual variant of a left paraduodenal hernia diagnosed and treated by laparoscopic surgery: report of a case. Surg Today. 2009;39:533–5.CrossRefPubMed
12.
13.
Mock CJ, Mock Jr HE. Strangulated internal hernia associated with trauma. AMA Arch Surg. 1958;77:881–6.CrossRefPubMed
14.
Tauro LF, Vijaya G, D’Souza CR, Ramesh HC, Shetty SR, Hegde BR. Mesocolic hernia: an unusual internal hernia. Saudi J Gastroenterol. 2007;13:141–3.CrossRefPubMed
15.
Blachar A, Federle MP. Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR. 2002;23:174–83.CrossRefPubMed
16.
Metadata
Title
Jejunal obstruction due to a variant of transmesocolic hernia: a rare presentation of an acute abdomen
Authors
Duminda Subasinghe
Chathuranga Tisara Keppetiyagama
Dharmabandhu N Samarasekera
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2015
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-015-0051-z

Other articles of this Issue 1/2015

BMC Surgery 1/2015 Go to the issue

Case report

Cecal volvulus caused by endometriosis in a young woman

Case report

Large retroperitoneal isolated fibrous cyst in absence of preceding trauma or acute pancreatitis

Research article

Risk factors and outcomes of postoperative pancreatic fistula after pancreatico-duodenectomy: an audit of 532 consecutive cases

Research article

Laparoscopic transperitoneal lateral adrenalectomy for malignant and potentially malignant adrenal tumours

Research article

Treatment of gallbladder stone with common bile duct stones in the laparoscopic era

Study protocol

Patient education for alcohol cessation intervention at the time of acute fracture surgery: study protocol for a randomised clinical multi-centre trial on a gold standard programme (Scand-Ankle)