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KMID : 0614620090530050320
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Korean Journal of Gastroenterology
2009 Volume.53 No. 5 p.320 ~ p.323
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A Transmesenteric Hernia in a Child: Gangrene of a Long Segment of Small Bowel through a Large Mesenteric Defect
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Park Chan-Yong
Choi Soo-Jin-Na
Kim Shin-Kon
Kim Jung-Chul
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Abstract
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Intestinal obstruction is a common surgical emergency. Transmesenteric hernia is an unusual cause of bowel obstruction that may result in irreversible damage of the bowel and a fatal outcome. Once incarceration of the bowel occurs, strangulation and gangrene follow immediately. The mortality rate associated with this condition is about 15%, but in the presence of gangrene of the bowel, the mortality rate is more than 50%. An accurate preoperative diagnosis of a transmesenteric hernia is very difficult and rarely made. Therefore, in patients with small bowel obstruction, in the absence of a history of previous surgery to suggest adhesions or an external hernia, the possibility of a transmesenteric hernia must be considered. We describe a case with gangrene of a long segment of the small bowel caused by a transmesenteric hernia through a large defect of small bowel mesentery in a child.
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KEYWORD
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Intestinal obstruction, Internal hernia, Transmesenteric, Gangrene, Child
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