A Case of Mesentery Hernia With Intestinal Malrotation

Abstract

A 9-month-old male patient was repeatedly hospitalized and discharged because of vomiting. In his first hospitalization, upper gastrointestinal series showed the duodenojejunal junction to be apparently in a normal position. The cause of his symptoms was unclear. In his fourth hospitalization, we were able to diagnose him as having intestinal malrotation. The operative findings were two internal hernias: a mesenteric fissure hernia at the end of the ileum and a cystic hernia formed in the mesentery close to it. Intestinal malrotation with internal hernia did not show the typical imaging findings of intestinal malrotation due to internal hernia. If a patient has symptoms similar to this case, we must keep in mind the possibility of internal hernia when carrying out imaging methods.