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Small bowel obstruction caused by congenital transmesenteric defect

Author(s): Nouira F | Dhaou Ben | Charieg A | Ghorbel S | Jlidi S | Chaouachi B

Journal: African Journal of Paediatric Surgery
ISSN 0189-6725

Volume: 8;
Issue: 1;
Start page: 75;
Date: 2011;
Original page

Keywords: Bowel obstruction | children | congenital | internal hernia

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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