Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2021; 9(19): 5294-5301
Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5294
Intestinal gangrene secondary to congenital transmesenteric hernia in a child misdiagnosed with gastrointestinal bleeding: A case report
Xi-Xi Zheng, Kun-Peng Wang, Chao-Mei Xiang, Chong Jin, Peng-Fei Zhu, Teng Jiang, Shi-Hui Li, Yong-Zhi Lin
Xi-Xi Zheng, Chao-Mei Xiang, Peng-Fei Zhu, Teng Jiang, Shi-Hui Li, Yong-Zhi Lin, Department of Pediatric Surgery, Taizhou Central Hospital (Taizhou University Hospital), Taizhou 318000, Zhejiang Province, China
Kun-Peng Wang, Chong Jin, Department of General Surgery, Taizhou Central Hospital (Taizhou University Hospital), Taizhou 318000, Zhejiang Province, China
Author contributions: Zheng XX, Lin YZ, and Wang KP designed this study and wrote the manuscript; Xiang CM, Jin C, and Zhu PF collected the patient’s clinical data; Jiang T and Li SH reviewed the literature; Zheng XX, Wang KP, and Lin YZ revised the manuscript; all authors read and approved the final manuscript.
Supported by Zhejiang Province Public Welfare Technology Application Research Project, No. LGF21H160022; and Project of Taizhou Central Hospital, No. 2019KT003.
Informed consent statement: Informed written consent was obtained from the patient and legal guardian for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong-Zhi Lin, MD, Professor, Department of Pediatric Surgery, Taizhou Central Hospital (Taizhou University Hospital), No. 999 Donghai Avenue, Jiaojiang District, Taizhou 318000, Zhejiang Province, China. linyz@tzzxyy.com
Received: February 13, 2021
Peer-review started: February 13, 2021
First decision: March 14, 2021
Revised: March 16, 2021
Accepted: April 23, 2021
Article in press: April 23, 2021
Published online: July 6, 2021
Processing time: 130 Days and 18.2 Hours
Core Tip

Core Tip: Congenital transmesenteric hernia in children is a rare and challenging disease that usually lacks specific clinical symptoms, hindering a correct preoperative diagnosis. Here, we first report an interesting case of intestinal gangrene secondary to congenital transmesenteric hernia in a child misdiagnosed with gastrointestinal bleeding, with the purpose of generalizing and reviewing the pathogenesis, presentation, diagnosis, and treatment of congenital transmesenteric hernia in children. This case highlights that computed tomography examinations are helpful for improving the accurate preoperative diagnosis of congenital transmesenteric hernia. Surgery is a safe and effective choice for the treatment of congenital transmesenteric hernia.