Abstract
Internal hernias are rare causes of intestinal obstruction in children. Trans-mesenteric hernia remains the most common form. We report transmesenteric hernia in a neonate and infant presented with intestinal obstruction.
Highlights
An internal hernia is defined as the protrusion of viscera through peritoneal mesenteric aperture
Abdominal CT scan are useful for diagnosis of a transmesenteric hernia, but an accurate preoperative diagnosis is rarely made [1,2,3]
Transmesenteric hernias are a rare cause of acute small bowel obstruction in children; about 35% of cases occur during childhood [2]
Summary
An internal hernia is defined as the protrusion of viscera through peritoneal mesenteric aperture. Transmesenteric hernia is a form of internal hernia through a congenital defect in the mesentery. It is a rare but serious cause of intestinal obstruction in children. It represents only 5 to 10% of internal hernias [1]. Abdominal CT scan are useful for diagnosis of a transmesenteric hernia, but an accurate preoperative diagnosis is rarely made [1,2,3]. A 41-day-old infant presented with abdominal distension, bilious vomiting and fever occurring two days before admission. Resection of the necrotic loop followed by primary anastomosis was done.
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