A Case of Transverse Mesocolon Hernia

We report a case of small-bowel obstruction due to transverse mesocolon hernia. An 84-year-old woman seen for abdominal pain and vomiting was found to have periumbilical tenderness without guarding or rebound. Computed Tomography (CT) showed small-bowel distension, but not the focus of obstruction....

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Bibliographic Details
Published inThe Japanese Journal of Gastroenterological Surgery Vol. 43; no. 11; pp. 1189 - 1193
Main Authors Okada, Naoya, Suzuki, On, Hashimoto, Youhei, Noji, Takehiro, Nakamura, Toru, Ambo, Yoshiyasu, Nakamura, Humitaka, Kashimura, Nobuichi
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 01.11.2010
Subjects
internal hernia
transverse mesocolon
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Summary:We report a case of small-bowel obstruction due to transverse mesocolon hernia. An 84-year-old woman seen for abdominal pain and vomiting was found to have periumbilical tenderness without guarding or rebound. Computed Tomography (CT) showed small-bowel distension, but not the focus of obstruction. The day following admission, tenderness became severe and rebound pain prompted emergency diagnostic laparoscopy for suspected incarcerated bowel. Intraoperatively, a hernia orifice 3 cm in diameter was found in the transverse mesocolon and small intestine adhering to the mesocolon 20 cm from this orifice. The hernia orifice was sutured closed and the strangulated intestine, which had no necrosis, needed no resection. Postoperative recovery was uncomplicated and the woman was discharged in good condition on postoperative day 8.
ISSN:0386-9768
1348-9372
DOI:10.5833/jjgs.43.1189