Title |
Jejunal obstruction due to a variant of transmesocolic hernia: a rare presentation of an acute abdomen
|
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Published in |
BMC Surgery, May 2015
|
DOI | 10.1186/s12893-015-0051-z |
Pubmed ID | |
Authors |
Duminda Subasinghe, Chathuranga Tisara Keppetiyagama, Dharmabandhu N Samarasekera |
Abstract |
Internal hernias include paraduodenal, pericecal, through foramen of Winslow, intersigmoid and retroanastomotic hernias. These hernias could be either congenital or acquired after abdominal surgery. They account for approximately 0.5-5% of all cases of intestinal obstruction. A 48-year-old female was admitted to casualty with a history of abdominal distension and vomiting of 3 days duration. An abdominal X-ray supine film showed multiple small bowel loops with air fluid levels. On surgery she was found to have a transmesocolic hernia. The defect in the transverse mesocolon was repaired. The clinical signs and symptoms of lesser sac hernia are non-specific. These rare lesser sac hernias can be lethal. Therefore, immediate diagnosis and surgery is essential. Although a rare entity, they account for significant mortality form intestinal obstruction. We report an extremely rare case of an internal abdominal hernia through the transverse mesocolon, in a young woman. |
X Demographics
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Science communicators (journalists, bloggers, editors) | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
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United States | 1 | 7% |
Unknown | 14 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 4 | 27% |
Researcher | 4 | 27% |
Other | 2 | 13% |
Student > Doctoral Student | 1 | 7% |
Student > Master | 1 | 7% |
Other | 1 | 7% |
Unknown | 2 | 13% |
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Medicine and Dentistry | 12 | 80% |
Unknown | 3 | 20% |