Zhang C, Guo DF, Lin F, Zhan WF, Lin JY, Lv GF. Transverse mesocolic hernia with intestinal obstruction as a rare cause of acute abdomen in adults: A case report. World J Clin Cases 2023; 11(27): 6613-6617 [PMID: 37900229 DOI: 10.12998/wjcc.v11.i27.6613]
Corresponding Author of This Article
Gui-Fang Lv, MD, PhD, Doctor, Medical Laboratory, Mindong Hospital Affiliated to Fujian Medical University, No. 89 Heshan Road, Fu’an 355000, Fujian Province, China. zc715866@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Chun Zhang, Deng-Fang Guo, Feng Lin, Wen-Feng Zhan, Jian-Yuan Lin, General Surgery Department, Mindong Hospital Affiliated to Fujian Medical University, Fu’an 355000, Fujian Province, China
Gui-Fang Lv, Medical Laboratory, Mindong Hospital Affiliated to Fujian Medical University, Fu’an 355000, Fujian Province, China
Author contributions: Zhang C drafted and edited the manuscript; Guo DF and Lin F treated the patient; Zhan WF and Lin JY contributed to the literature review; Zhang C and Lin JY performed the operation; Lv GF contributed to the final approval.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
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).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gui-Fang Lv, MD, PhD, Doctor, Medical Laboratory, Mindong Hospital Affiliated to Fujian Medical University, No. 89 Heshan Road, Fu’an 355000, Fujian Province, China. zc715866@163.com
Received: June 28, 2023 Peer-review started: June 28, 2023 First decision: August 5, 2023 Revised: August 9, 2023 Accepted: August 17, 2023 Article in press: August 17, 2023 Published online: September 26, 2023 Processing time: 84 Days and 7 Hours
Abstract
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.
Core Tip: Transverse mesocolic hernia with intestinal obstruction is a rare cause of acute abdomen in adults. This case emphasizes the importance of considering a diagnosis of transmesocolic hernia in adult patients with intestinal obstruction, even in the absence of a history of abdominal trauma or surgery. Intraoperative images and video included with this case report highlight the surgical procedures required to treat these rare hernias.
