Transmesenteric hernia with bowel ischemia in unusual site

Abstract

An 8-year-old girl presented with distal ileal obstruction secondary to transmesenteric hernia. The ileum just proximal to the herniated loop was ischemic, while the herniated bowel did not show ischemia. The ischemia was due to stretching and torsion of the vessels around the mesenteric defect by the herniated bowel. Such a mechanism has not been reported before.

Keywords

• Congenital
• internal hernia
• mesentery
• transmesenteric hernia