Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Case of Transverse Mesocolic Hernia
Shingo ItoRyohei TakedaRitsuo KokuboKiichi SugimotoYutaka KojimaKazuhiro Sakamoto
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2016 Volume 36 Issue 5 Pages 963-967

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Abstract

A 75-year-old female patient with no previous history of undergoing abdominal surgery visited our hospital complaining of abdominal pain since having her lunch. Enhanced computed tomography of the abdomen revealed a dilated segment of the small intestine posterior to the transverse colon and anterior to the duodenum. A diagnosis of internal hernia was made, and emergency laparotomy was performed. Laparotomy revealed a hernial orifice measuring 3 cm in diameter in the mesentery of the transverse colon, with a 15-cm segment of the jejunum incarcerated through it. As the incarcerated small intestine was not necrotic, the hernia orifice was repaired using a suture. Because transverse mesocolic hernia is rare, we report this case with some reference to the literature.

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© 2014, Japanese Society for Abdominal Emargency Medicine
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