Congenital adult transmesenteric hernia as small bowel obstruction

ConclusionTransmesenteric hernia is a rare cause of small bowel obstruction as it constitutes only 8% of internal hernias. A congenital mesenteric defect should be considered as one of the differential diagnoses in a relatively young patient with bowel obstruction without an external hernia, previous abdominal surgery or trauma. Surgical decision-making is made on the basis of clinical findings of intestinal strangulation or ischaemia, and emergency laparotomy should be performed without preoperative diagnosis of such a rare disease.
Source: Hellenic Journal of Surgery - Category: Surgery Source Type: research