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Post-trauma transmesocolic hernia: a case report

The prevalence of transmesocolic hernias, a subtype of internal hernias (IHs), is generally low. Its clinical consequences, including strangulation, ischemia and even death, however, necessitate awareness. IHs are classified as congenital or acquired as resulting from surgery, trauma or intraperiton...

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Detalles Bibliográficos
Autores principales: Salam, Doaa Hussin, Al-Tarakji, Mohannad, Alaieb, Abubaker Ibrahim, Singh, Rajvir, El-Menyar, Ayman, Al-Thani, Hassan, Zarour, Ahmad, Ellabib, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7575331/
https://www.ncbi.nlm.nih.gov/pubmed/33123345
http://dx.doi.org/10.1093/jscr/rjaa417
Descripción
Sumario:The prevalence of transmesocolic hernias, a subtype of internal hernias (IHs), is generally low. Its clinical consequences, including strangulation, ischemia and even death, however, necessitate awareness. IHs are classified as congenital or acquired as resulting from surgery, trauma or intraperitoneal inflammation. This is a case of a 37-year-old male victim of a motor vehicle collision 1 month prior to the index admission. The trauma-related injuries were managed conservatively and then discharged home. The patient was re-admitted with a 2-day history of epigastric pain, vomiting and abdominal distension. A diagnosis of small bowel obstruction due to a transmesocolic hernia was made on CT and emergency laparotomy performed. The post-operative course was unremarkable. It is vital to consider transmesocolic hernias in trauma patients presenting with a picture of bowel obstruction even in the absence of prior surgery.