A Case of Transverse Mesocolon Hernia

Abstract

A 72-year-old man with no history of surgery was referred for abdominal pain and vomiting which had lasted for ten days. Abdominal CT revealed dilatation of the small intestine with contrast enhancement of the small intestine. We conducted conservative long-tube therapy under the diagnosis of ileus, but failed to treat the condition, so an operation was performed. An oval defect approximately 4cm in diameter was found in the mesentery of the transverse colon and the part of the jejunum 100cm distal to the Treitz ligament had invaginated and adhered to the defect. The invaginated intestine was reduced but stenosis was severe, so we performed a partial resection of the jejunum and the defect of the mesentery was closed by suturing. We report herein on a case of rare transverse mesocolon hernia with a review of the literature.