2017 Volume 37 Issue 3 Pages 521-524
We report a case of mesenteric hernia of the ileum in an adult. The patient was a 54-year-old woman who presented with abdominal pain. Mild tenderness and mild rebound tenderness were observed in the abdomen. A whirl sign and ascites, with no enhancement in a section of the small bowel, were observed using abdominal computed tomography. Strangulation ileus was suspected, and an emergency operation was performed. A 100-cm length of the ileocolic segment was herniated through a small 3-cm mesenteric defect, which was located in the mesoileum. The necrotic ileum was resected. The postoperative course was uncomplicated, and the patient was discharged on postoperative day 10. Transmesenteric internal hernias in elderly patients are rare but should be considered during differential diagnosis to enable an immediate emergency operation, if necessary.
