Jung P, Kim MD, Ryu TH, Choi SH, Kim HS, Lee KH, Park JH. Transmesocolic hernia with strangulation in a patient without surgical history: Case report. World J Gastroenterol 2013; 19(12): 1997-1999 [PMID: 23569347 DOI: 10.3748/wjg.v19.i12.1997]
Corresponding Author of This Article
Min Dae Kim, MD, Department of Gastroenterology, Bongseng Memorial Hospital, 401 Jwacheon 1-dong, Dong-gu, Busan 601-723, South Korea. mdmdk69@hanmail.net
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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World J Gastroenterol. Mar 28, 2013; 19(12): 1997-1999 Published online Mar 28, 2013. doi: 10.3748/wjg.v19.i12.1997
Transmesocolic hernia with strangulation in a patient without surgical history: Case report
Peel Jung, Min Dae Kim, Tae Hyun Ryu, Sung Ho Choi, Han Se Kim, Kang Hun Lee, Jhong Hyun Park
Peel Jung, Tae Hyun Ryu, Sung Ho Choi, Han Se Kim, Kang Hun Lee, Department of Internal Medicine, Bongseng Memorial Hospital, Busan 601-723, South Korea
Min Dae Kim, Department of Gastroenterology, Bongseng Memorial Hospital, Busan 601-723, South Korea
Jhong Hyun Park, Department of General Surgery, Bongseng Memorial Hospital, Busan 601-723, South Korea
Author contributions: Jung P drafted and edited the manuscript; Ryu TH and Choi SH treated the patient; Kim HS and Lee KH contributed to the literature review; Park JH performed the operation; Kim MD contributed to the final approval.
Correspondence to: Min Dae Kim, MD, Department of Gastroenterology, Bongseng Memorial Hospital, 401 Jwacheon 1-dong, Dong-gu, Busan 601-723, South Korea. mdmdk69@hanmail.net
Telephone: +82-51-6644000 Fax: +82-51-6644059
Received: November 25, 2012 Revised: December 10, 2012 Accepted: December 22, 2012 Published online: March 28, 2013
Abstract
Transmesenteric hernias have bimodal distribution and occur in both pediatric and adult patients. In the adult population, the cause is iatrogenic, traumatic, or inflammatory. We report a case of transmesocolic hernia in an elderly person without any preoperative history. An 84-year-old Korean female was admitted with mid-abdominal pain and distension for 1 d. On abdominal computed tomography, we diagnosed transmesocolic hernia with strangulated small bowel obstruction, and performed emergency surgery. The postoperative period was uneventful and she was discharged 11 d after surgery. Hence, it is important to consider the possibility of transmesocolic hernia in elderly patients with signs and symptoms of intestinal obstruction, even in cases with no previous surgery.
