Congenital Transmesenteric Hernia-Importance of a Timely Intervention.
superior mesenteric vein compression
transmesenteric hernia
Journal
Surgery journal (New York, N.Y.)
ISSN: 2378-5128
Titre abrégé: Surg J (N Y)
Pays: United States
ID NLM: 101695022
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
17
10
2019
accepted:
27
03
2020
entrez:
25
6
2020
pubmed:
25
6
2020
medline:
25
6
2020
Statut:
epublish
Résumé
Transmesenteric hernia is a rare cause of small bowel strangulation in adults. Our patient was a 61-year-old previously healthy male, who presented with vomiting and abdominal pain with no surgical history and no trauma in the past. Computed tomography with contrast enhancement was suggestive of superior mesenteric vein (SMV) compression without any obvious cause. The emergency exploratory laparotomy revealed venous congestion of small bowel caused by a transmesenteric hernia with the herniated loop compressing the SMV. On reducing the hernia, complete reversal of the bowel congestion was noted and small bowel resection was averted. A high index of suspicion for a transmesenteric hernia in small bowel obstruction of unknown etiology and a timely surgical intervention are must for a good clinical outcome.
Identifiants
pubmed: 32577528
doi: 10.1055/s-0040-1710533
pii: 1900066cr
pmc: PMC7305018
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e98-e100Déclaration de conflit d'intérêts
Conflicts of Interest None declared.
Références
Radiology. 2001 Jan;218(1):68-74
pubmed: 11152781
Saudi J Gastroenterol. 2010 Jul-Sep;16(3):223-5
pubmed: 20616422
Br Med J. 1885 Mar 7;1(1262):470-4
pubmed: 20751187
Surg Today. 2008;38(10):899-904
pubmed: 18820864
AJR Am J Roentgenol. 2006 Mar;186(3):703-17
pubmed: 16498098
J Surg Case Rep. 2013 May 08;2013(5):
pubmed: 24964446