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CASE REPORT
Year : 2011  |  Volume : 8  |  Issue : 1  |  Page : 75-78

Small bowel obstruction caused by congenital transmesenteric defect


Department of Pediatric Surgery, Children's Hospital, Tunis, Tunisia

Correspondence Address:
F Nouira
Department of Pediatric Surgery, Tunis Children's Hospital Bab Saadoun Jebbari 1007, Tunis
Tunisia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.78934

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Transmesenteric hernias are extremely rare. A strangulated hernia through a mesenteric opening is a rare operative finding. Preoperative diagnosis still is difficult in spite of the imaging techniques currently available. The authors describe two cases of paediatric patients presenting with bowel obstruction resulting from a congenital mesenteric hernia. The first patient had a 3-cm wide congenital defect in the ileal mesentery through which the sigmoid colon had herniated. The second patient is a newborn infant who presented with symptoms and radiographic evidence of neonatal occlusion. At surgical exploration, a long segment of the small bowel had herniated in a defect in the ileal mesentery. A brief review of epidemiology and anatomy of transmesenteric hernias is included, along with a discussion of the difficulties in diagnosis and treatment of this condition.


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