A Case of Transverse Mesocolon Hernia

Naoya Okada, On Suzuki, Youhei Hashimoto, Takehiro Noji, Toru Nakamura, Yoshiyasu Ambo, Humitaka Nakamura and Nobuichi Kashimura

Department of Surgery, Teine Keijinkai Hospital

We report a case of small-bowel obstruction due to transverse mesocolon hernia. An 84-year-old woman seen for abdominal pain and vomiting was found to have periumbilical tenderness without guarding or rebound. Computed Tomography (CT) showed small-bowel distension, but not the focus of obstruction. The day following admission, tenderness became severe and rebound pain prompted emergency diagnostic laparoscopy for suspected incarcerated bowel. Intraoperatively, a hernia orifice 3 cm in diameter was found in the transverse mesocolon and small intestine adhering to the mesocolon 20 cm from this orifice. The hernia orifice was sutured closed and the strangulated intestine, which had no necrosis, needed no resection. Postoperative recovery was uncomplicated and the woman was discharged in good condition on postoperative day 8.

Key words
internal hernia, transverse mesocolon

Reprint requests
Naoya Okada Department of Surgery, Teine Keijinkai Hospital
1-12-1-40 Maeda, Teine-ku, Sapporo, 006-8555 JAPAN

Accepted
March 24, 2010

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