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World J Clin Cases. Sep 16, 2026; 14(26): 126834
Published online Sep 16, 2026. doi: 10.12998/wjcc.126834
Published online Sep 16, 2026. doi: 10.12998/wjcc.126834
Laparoscopic treatment of a transmesocolic internal hernia causing small bowel obstruction: A case report
Monika Joshi, Saurav Jha, Department of Surgery, Apollo Hospitals Navi Mumbai, Navi Mumbai 400614, India
Smriti Jha, Department of Radiology, Apollo Hospitals Navi Mumbai, Navi Mumbai 400614, India
Nitish Jhawar, Department of General Surgery, Apollo Hospitals Navi Mumbai, Navi Mumbai 400614, India
Co-first authors: Monika Joshi and Saurav Jha.
Co-corresponding authors: Monika Joshi and Nitish Jhawar.
Author contributions: Jhawar N and Joshi M performed the operation, conceptualized the report, and collected the clinical and intraoperative data; Jha S (Smriti Jha) reported on and retrospectively re-reviewed the radiological imaging; Jha S (Saurav Jha), Joshi M, and Jhawar N reviewed and edited the manuscript; and all authors have read and approved the final version; Joshi M and Jhawar N contributed equally to this work.
AI contribution statement: Portions of this manuscript were assisted using Claude (Anthropic), for language refinement. The authors carefully reviewed and verified all AI-assisted outputs, independently confirmed all clinical data and cited literature, and take full responsibility for the scientific content of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors report no conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Monika Joshi, Attending Surgeon, Department of Surgery, Apollo Hospitals Navi Mumbai, Navi Mumbai 400614, India. monikamonika105@yahoo.com
Received: August 14, 2026
Revised: September 7, 2026
Accepted: September 16, 2026
Published online: September 16, 2026
Processing time: 35 Days and 14.8 Hours
Revised: September 7, 2026
Accepted: September 16, 2026
Published online: September 16, 2026
Processing time: 35 Days and 14.8 Hours
Core Tip
Core Tip: Transmesocolic herniation through a defect in the transverse mesocolon is a rare cause of small bowel obstruction that is easily overlooked before operation. In this patient, contrast-enhanced computed tomography localized an abrupt distal jejunal transition point without signs of ischemia, but the underlying cause was established only during the surgery. Emergency diagnostic laparoscopy on the night of admission allowed the herniated jejunum to be reduced, viability confirmed, and the mesocolic defect closed primarily, avoiding resection. Early exploration and a minimally invasive approach provided diagnosis and definitive treatment in a single procedure.