Internal hernia through dual defects: defects in transverse mesocolon and lesser omentum a rare presentation: case report

Authors

  • Venu Bharagava Malpuri Department of Surgical Gastroenterology, ESI Medical College and Hospital, Sanath Nagar, Hyderabad, India
  • Prasanth Gurijala Department of Surgical Gastroenterology, ESI Medical College and Hospital, Sanath Nagar, Hyderabad, India
  • Bhaskar Reddy Yerrola Department of Surgical Gastroenterology, ESI Medical College and Hospital, Sanath Nagar, Hyderabad, India
  • Krishna Ramavath Department of General Surgery, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India
  • Gopisingh Lavudya Department of General Surgery, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India

DOI:

https://doi.org/10.18203/2349-2902.isj20215164

Keywords:

Internal hernia, Trans-mesenteric defect, Laparotomy

Abstract

Internal hernias have the potential to cause small bowel obstruction. Congenital internal hernias are impossible to diagnose clinically and radiologically in asymptomatic patients. We presented a case of 36 years male with complaints of pain abdomen abdominal distension and vomiting, contrast-enhanced CT showed an internal hernia with small bowel obstruction. On exploration, small bowel loops were identified near the lesser curvature and they are congested an edema was present, a defect of 5×1 cm was identified in the transverse mesocolon and was managed by reducing the hernia sac and closure of the defect in the mesentery of the transverse colon. If the intervention was delayed internal hernia might lead to ischemia, gangrene increasing morbidity and mortality. Early intervention is the key to decrease morbidity and mortality. 

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Published

2021-12-28

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Case Reports