Transverse mesocolic hernia with intestinal obstruction as a rare cause of acute abdomen in adults:A case report  

作　　者：Chun Zhang Deng-Fang Guo Feng Lin Wen-Feng Zhan Jian-Yuan Lin Gui-Fang Lv 

机构地区：[1]General Surgery Department,Mindong Hospital Affiliated to Fujian Medical University,Fu’an 355000,Fujian Province,China [2]Medical Laboratory,Mindong Hospital Affiliated to Fujian Medical University,Fu’an 355000,Fujian Province,China

出　　处：《World Journal of Clinical Cases》2023年第27期6613-6617,共5页世界临床病例杂志

摘　　要：BACKGROUND Internal hernia is a rare cause of acute abdomen and intestinal obstruction in adults.Internal abdominal hernias include paraduodenal,perigastric,foramen of Winslow,intersigmoid,and post-anastomotic hernias and can be congenital or acquired.Internal hernias occur in 1%-2%of patients,and transmesocolic hernias are extremely rare.This report presents a patient with a transverse mesocolic hernia with a preoperative diagnosis of small intestinal obstruction.CASE SUMMARY A 45-year-old Chinese woman was admitted to the hospital with middle and upper abdominal pain for 2 d,abdominal distension,and vomiting.After abdominal computed tomography,she was diagnosed with an internal abdominal hernia complicated by small intestinal obstruction and underwent emergency laparoscopic surgery.The patient recovered well and was discharged 6 d postoperatively.CONCLUSION Transmesocolic hernias must be considered in adult patients with signs and symptoms of intestinal obstruction,even without a history of abdominal trauma or surgery.

关 键 词：Internal hernia Transmesocolic hernias Abdominal computed tomography Small bowel obstruction Laparoscopic surgery Case report 

分 类 号：R735.31[医药卫生—肿瘤]