scholarly journals Congenital Transmesenteric Hernia—Importance of a Timely Intervention

2020 ◽  
Vol 06 (02) ◽  
pp. e98-e100
Author(s):  
Mandar Sharadchandra Koranne ◽  
Amay Banker
Keyword(s):  
Small Bowel ◽  
Exploratory Laparotomy ◽  
Small Bowel Resection ◽  
Unknown Etiology ◽  
Transmesenteric Hernia ◽  
Complete Reversal ◽  
Surgical History ◽  
Small Bowel Strangulation ◽  
High Index Of Suspicion ◽  
Bowel Strangulation

AbstractTransmesenteric 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.

Laparoscopic treatment of small bowel strangulation caused by an intramesosigmoid hernia and review of literature

2020 ◽  
Vol 13 (4) ◽  
pp. e233627
Author(s):  
Anna Junttila ◽  
Juha Virtanen ◽  
Johanna Mrena ◽  
Anne K Mattila
Keyword(s):  
Small Bowel ◽  
Bowel Resection ◽  
Acute Obstruction ◽  
Review Of Literature ◽  
Laparoscopic Treatment ◽  
Internal Hernias ◽  
Surgical History ◽  
Small Bowel Strangulation ◽  
Bowel Strangulation ◽  
Intramesosigmoid Hernia

An internal hernia is defined as a protrusion of an abdominal viscera through the defects of the gastrointestinal mesentery or peritoneum-lined fossa. Sigmoid mesocolic hernias are an uncommon type of internal hernias, accounting for only 6% of all internal hernias. Furthermore, intramesosigmoid hernia is one of the three subtypes of the sigmoid mesocolic hernias. Internal hernias are potentially fatal conditions with diagnostic challenges. Patients presenting with acute obstruction, no surgical history and no external hernia should receive an urgent CT scan to facilitate early surgery and to minimise the risk of strangulation and bowel resection. Here, we report a case of strangulated small bowel obstruction secondary to an intramesosigmoid hernia with a successful laparoscopic repair. We also present a literature review of all reported cases so far and give an up-to-date perspective on intramesosigmoid hernia.

scholarly journals Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes

2019 ◽  
Vol 32 (3) ◽  
pp. 240
Author(s):  
Manuela Graça Fernandes ◽  
Ana Rita Mateus Loureiro ◽  
Maria João Diogo Obrist ◽  
César Prudente
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Case Reports ◽  
Broad Ligament ◽  
Exploratory Laparotomy ◽  
Anatomical Location ◽  
Internal Hernias ◽  
Surgical History ◽  
Broad Ligament Defect

Internal hernias are a rare cause of bowel obstruction (1%) and can be caused by broad ligament defects in 4% to 7% of the cases. These defects may be congenital or acquired and are classified according to its anatomical location. This paper reports three cases of small bowel obstruction by broad ligament hernia. The patients, three women aged from 35 to 51 years old, were admitted to the emergency department with small bowel obstruction. An exploratory laparotomy was performed during which an internal hernia through a broad ligament defect was identified. In all cases the hernia content was reduced and the defect closed. One of the patients required a segmental enterectomy. All patients had a favorable outcome. This paper aims to raise awareness about the broad ligament hernia as a cause of bowel obstruction, namely in middle-aged women with no surgical history.

scholarly journals Right Paraduodenal Hernia: A Rare Cause of Small Bowel Strangulation

Cureus ◽  
2020 ◽  
Author(s):  
Aishwarya Reddy Bollampally ◽  
Baskaran Dhanapal ◽  
Faiz Hussain Mohammed
Keyword(s):  
Small Bowel ◽  
Paraduodenal Hernia ◽  
Small Bowel Strangulation ◽  
Right Paraduodenal Hernia ◽  
Bowel Strangulation

scholarly journals Detecting Small Bowel Strangulation using Circulating Cell-Free DNA with Machine Learning

2017 ◽  
Vol 7 (3) ◽  
pp. 35-39
Author(s):  
Kazutaka Nishiwaki ◽  
◽  
Takeshi Yamada ◽  
Takuma Iwai ◽  
Goro Takahashi ◽  
...  
Keyword(s):  
Machine Learning ◽  
Small Bowel ◽  
Cell Free Dna ◽  
Free Dna ◽  
Small Bowel Strangulation ◽  
Bowel Strangulation ◽  
Circulating Cell Free Dna

scholarly journals Unusual presentation of eosinophilic enteritis as multiple strictures of small intestine

2012 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Sunil V. Jagtap ◽  
Dhiraj B. Nikumbh ◽  
Ashok Y. Kshirsagar ◽  
Neha Ahuja
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Bowel Wall ◽  
Unusual Presentation ◽  
Unknown Etiology ◽  
Peripheral Eosinophilia ◽  
Variable Depth ◽  
High Index Of Suspicion

Eosinophilic enteritis is a rare disease of unknown etiology. It is characterized by eosinophilic infiltration of the bowel wall to a variable depth and symptoms associated with gastrointestinal tract depending upon the predominant layer involved. Diagnosis of eosinophilic enteritis requires a high index of suspicion and exclusion of various disorders that are associated with peripheral eosinophilia. We report a case of unusual presentation of eosinophilic enteritis clinically presenting as intestinal obstruction due to multiple strictures of the small bowel in an adult male.

scholarly journals Small Bowel Strangulation due to Right Para-Duodenal Hernia - A Case Report

2018 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
R Rajkumar ◽  
◽  
p Beulah ◽  
R Sundarapandiyan ◽  
S Dash ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Primary Anastomosis ◽  
Signs And Symptoms ◽  
Acute Intestinal Obstruction ◽  
Hernia Sac ◽  
Small Bowel Strangulation ◽  
The Right ◽  
Bowel Strangulation ◽  
Rare Diagnosis

Para-duodenal hernias are rare causes of intestinal obstruction and strangulation, are difficult to diagnose preoperatively. It is a rare congenital anomaly which occurs due to defect in the rotation of gut. It is usually discovered incidentally at radiological study or at laparotomy. Here we report of right para-duodenal hernia presented in emergency with signs and symptoms of acute intestinal obstruction. Pre-operative Computer Tomography cuts show hernia sac, filled with loops of small bowel crowded in the right hypochondrium suggesting the rare diagnosis of Waldeyer’s hernia. He required resection of the gangrenous segment and primary anastomosis. The mouth of the sac was obliterated with suturing to the posterior abdominal wall. The patient was discharged uneventfully on 7th post-operative day.

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