A Case of Intestinal Strangulation Caused by Transmesenteric Hernia

Yoshinobu Shioda, Masatomo Yoshioka, Yohsuke Tanaka, Eiji Uchida, Katsuyoshi Higuchi, Yoshiroh Taniguchi, Kohji Masumori, Yasuyuki Ujihara, Masahiko Onda¹⁾

Department of Surgery, Nippon Medical School Tama-Nagayama Hospital
First Department of Surgery, Nippon Medical School¹⁾

An 11 year old boy was admitted to Nippon Medical School Tamanagayama Hospital with acute abdomen. An emergency laparotomy was performed immediatly after admission because there was peritoneal irritation in his abdomen and he went into mild shock. The laparotomy reveald that there was widespread necrosis in the small intestine which was due to strangulation obstruction caused by a transmesentric hernia. The defect of the ileal mesentery measured 4.0×3.0 cm and was located 50 cm from the terminal ileum. More than half of the small intestine with necrosis and the defect was resected, and an end to end anastomosis was performed. The postoperative course was uneventful and the patient has been in good health since his recovery.

Key words
mesenteric defect, transmesenteric hernia, intestinal strangulation

Reprint requests
Yoshinobu Shioda First Department of Surgery, Nippon Medical School
1-1-5 Sendagi, Bunkyou-ku, Tokyo, 113 JAPAN

Accepted
June 13, 1990

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