Internal abdominal hernia: Intestinal obstruction due to trans-mesenteric hernia containing transverse colon

2.50
Hdl Handle:
http://hdl.handle.net/10757/320534
Title:
Internal abdominal hernia: Intestinal obstruction due to trans-mesenteric hernia containing transverse colon
Authors:
Crispín-Trebejo, Brenda; Robles-Cuadros, María Cristina; Orendo-Velásquez, Edwin; Andrade, Felipe P.
Publisher:
Elsevier B.V.
Journal:
International Journal of Surgery Case Reports
Issue Date:
10-Jun-2014
URI:
http://hdl.handle.net/10757/320534
DOI:
10.1016/j.ijscr.2014.01.013
Additional Links:
http://www.sciencedirect.com/science/article/pii/S2210261214000182#
Abstract:
INTRODUCTION Internal abdominal hernias are infrequent but an increasing cause of bowel obstruction still often underdiagnosed. Among adults its usual causes are congenital anomalies of intestinal rotation, postsurgical iatrogenic, trauma or infection diseases. PRESENTATION OF CASE We report the case of a 63-year-old woman with history of chronic constipation. The patient was hospitalized for two days with acute abdominal pain, abdominal distension and inability to eliminate flatus. The X-ray and abdominal computerized tomography scan (CT scan) showed signs of intestinal obstruction. Exploratory laparotomy performed revealed a trans-mesenteric hernia containing part of the transverse colon. The intestine was viable and resection was not necessary. Only the hernia was repaired. DISCUSSION Internal trans-mesenteric hernia constitutes a rare type of internal abdominal hernia, corresponding from 0.2 to 0.9% of bowel obstructions. This type carries a high risk of strangulation and even small hernias can be fatal. This complication is specially related to trans-mesenteric hernias as it tends to volvulize. Unfortunately, the clinical diagnosis is rather difficult. CONCLUSION Trans-mesenteric internal abdominal hernia may be asymptomatic for many years because of its nonspecific symptoms. The role of imaging test is relevant but still does not avoid the necessity of exploratory surgery when clinical features are uncertain.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/openAccess
Language:
eng
Keywords:
Hernia; Abdominal surgery; Intestinal obstruction/sigmoid mesocolon; Internal abdominal hernia; Transmesenteric hernia; Radiology
ISSN:
2210-2612
EISSN:
2210-2612

Full metadata record

DC FieldValue Language
dc.contributor.authorCrispín-Trebejo, Brendaes_PE
dc.contributor.authorRobles-Cuadros, María Cristinaes_PE
dc.contributor.authorOrendo-Velásquez, Edwines_PE
dc.contributor.authorAndrade, Felipe P.es_PE
dc.date.accessioned2014-06-11T04:39:48Z-
dc.date.available2014-06-11T04:39:48Z-
dc.date.issued2014-06-10-
dc.identifier.issn2210-2612-
dc.identifier.doi10.1016/j.ijscr.2014.01.013-
dc.identifier.urihttp://hdl.handle.net/10757/320534es_PE
dc.description.abstractINTRODUCTION Internal abdominal hernias are infrequent but an increasing cause of bowel obstruction still often underdiagnosed. Among adults its usual causes are congenital anomalies of intestinal rotation, postsurgical iatrogenic, trauma or infection diseases. PRESENTATION OF CASE We report the case of a 63-year-old woman with history of chronic constipation. The patient was hospitalized for two days with acute abdominal pain, abdominal distension and inability to eliminate flatus. The X-ray and abdominal computerized tomography scan (CT scan) showed signs of intestinal obstruction. Exploratory laparotomy performed revealed a trans-mesenteric hernia containing part of the transverse colon. The intestine was viable and resection was not necessary. Only the hernia was repaired. DISCUSSION Internal trans-mesenteric hernia constitutes a rare type of internal abdominal hernia, corresponding from 0.2 to 0.9% of bowel obstructions. This type carries a high risk of strangulation and even small hernias can be fatal. This complication is specially related to trans-mesenteric hernias as it tends to volvulize. Unfortunately, the clinical diagnosis is rather difficult. CONCLUSION Trans-mesenteric internal abdominal hernia may be asymptomatic for many years because of its nonspecific symptoms. The role of imaging test is relevant but still does not avoid the necessity of exploratory surgery when clinical features are uncertain.eng
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherElsevier B.V.es_PE
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S2210261214000182#es_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.subjectHerniaes_PE
dc.subjectAbdominal surgeryes_PE
dc.subjectIntestinal obstruction/sigmoid mesocolones_PE
dc.subjectInternal abdominal herniaes_PE
dc.subjectTransmesenteric herniaes_PE
dc.subjectRadiologyes_PE
dc.titleInternal abdominal hernia: Intestinal obstruction due to trans-mesenteric hernia containing transverse colones_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.identifier.eissn2210-2612-
dc.identifier.journalInternational Journal of Surgery Case Reportses_PE
dc.description.peer-reviewRevisión por pareses_PE
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