Abstract
Internal herniation is a rare cause of small bowel obstruction, with an incidence of 0.2-0.9%. Obstruction due to congenital internal hernias is even rarer. The commonest type of congenital internal hernia is the paraduodenal or the mesocolic hernia. The left and right mesocolic hernias constitute 75% and 25% of the mesocolic hernias respectively. Middle mesocolic hernias are an extremely rare and unusual variant of mesocolic hernia, and literature search revealed only three reported cases. In view of its rarity, a high level of clinical suspicion, supported by radiological evidence is required to diagnose it preoperatively. Prompt surgical management is mandatory to reduce complications and their associated morbidity and mortality.
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References
Blachar A, Federle MP, Dodson S. Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology 2001;218:68–74.
Khan MA, Lo YA, Vande Maele DM. Paraduodenal hernia. Am Surg 1998;64:1218–22.
Bartlett M, Wang C, William H. The surgical management of paraduodenal hernias. Ann Surg 1968;168:249–54.
Eric R, Oscar R, Mitchel K. Paraduodenal hernia: a report of two cases. Am Surg 2001;67:733–6.
Willwerth BM, Zollinger RM, Izant RJ. Congenital mesocolic (paraduodenal) hernia. Embryologic basis of repair. Am J Surg 1974;128:358–361.
Kannan NS, Usha K, Arun T, Naseeruddin MP, Ganesh Babu PC, Karthikesh S. Congenital middle mesocolic hernia: A case report. AMJ 2014;7:432–5.
Chamely E, Antao B. Congenital middle mesocolic hernia: A rare cause of neonatal intestinal obstruction. J Neonat Surg 2016;5:58.
Licciardello A, Rapisarda C, Conti P, Trombatore G. Small Bowel Obstruction Caused by an Unusual Variant of Paraduodenal Hernia. The “Middle Congenital Mesocolic Hernia”: Case report. J Gastrointest Surg 2014;18:1514–7.
Takuya Sugimoto, Makio Mike, Shigetoshi Yamada, Hiroshi Kusanagi, Nobuyasu Kano. A Case of Internal Hernia of the Transverse Mesocolon. Jpn J Gastroenterol Surg 2012;45:986–93.
Tomokazu Kishiki, Toshiyuki Mori, Yoshikazu Hashimoto, et al. Laparoscopic repair of internal transmesocolic hernia of transverse colon. Case Reports in Surgery 2015, Article ID 853297, 4 Pages, http://dx.doi.org/10.1155/2015/853297.
Hussein M, Khreiss M, Al-Helou G, Aleaddine M, Elias E, Abi Saad GS. Laparoscopic repair of a left paraduodenal hernia presenting with acute bowel obstruction: report of a case. Surg Laparosc Endosc Percutan Tech 2012;22:e28–30.
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Chatterjee, S., Nayak, S.D. & Mitra, A. Congenital middle mesocolic hernia – An unusual cause of small bowel obstruction. Hellenic J Surg 89, 52–54 (2017). https://doi.org/10.1007/s13126-017-0381-7
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DOI: https://doi.org/10.1007/s13126-017-0381-7