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Large congenital transmesenteric hernia: a missed small-bowel atresia?

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Abstract

Internal hernias are uncommon diagnoses and represent rare causes of intestinal obstruction. Diagnoses are frequently made perioperatively. We present herein an illustrated case of transmesenteric hernia diagnosed in a pregnant woman who consulted for severe abdominal and dorsal pains. As CT scan was not possible because of the obstetric history, a decision to perform surgery was made because of acute pain, no history of previous surgery, and a plain erect X-ray disclosing early signs of intestinal obstruction. Perioperative findings were an ileal volvulus through a transmesenteric fossa circled by a unique ileocolic branch. This particular vascular disposition suggests transmesenteric hernias may be the first step in the constitution of congenital small-bowel atresia.

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Authors and Affiliations

  1. Pediatric Surgery Department, CHU de Nantes, Hopital Mère-Enfants, 7 Quai Moncousu, 44093, Nantes, France

    C. Capito

  2. General Surgery Department, CHU de Nantes, Place Alexis Ricordeau, 44093, Nantes, France

    J. Podevin, P. A. Lehur & O. Armstrong

  3. Anesthesiology Department, CHU de Nantes, Place Alexis Ricordeau, 44093, Nantes, France

    J. B. Lascarrou

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  1. C. Capito
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  2. J. Podevin
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  3. J. B. Lascarrou
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  4. P. A. Lehur
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  5. O. Armstrong
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Correspondence to C. Capito.

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Capito, C., Podevin, J., Lascarrou, J.B. et al. Large congenital transmesenteric hernia: a missed small-bowel atresia?. Hernia 13, 209–211 (2009). https://doi.org/10.1007/s10029-008-0407-8

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  • DOI: https://doi.org/10.1007/s10029-008-0407-8

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