Strangulated congenital mesenteric hernia: a case report

Congenital mesenteric defects are rare and often recognized only in surgery or autopsy. Preoperative diagnosis of an internal hernia is quite rare. A common symptom of trans-mesenteric intestinal herniation is intermittent postprandial pain. If there is strangulation of the mesenteric internal herniation, there is often vomiting and constipation. Signs and symptoms of a bowel obstruction in a patient without previous abdominal surgery or inguinal hernia as well as without history of intra-abdominal operation and infection suggest the possibility of a congenital mesenteric defect with internal herniation. Early diagnosis and surgical treatment are important to reduce morbidity and mortality. This study aimed to present the case of a 20-year-old female patient on whom preoperative diagnosis of internal trans-mesenteric internal hernia was made.

Boðulmuþ doðumsal mezenterik fýtýk: Olgu sunumu

Doðumsal mezenter defektler oldukça nadir; bir kýsmý ömür boyu fark edilemeyen bir kýsmý ise ameliyat veya otopsi esnasýnda tanýnabilen, ameliyat öncesi tanýnma olasýlýðý çok düþük olan patolojilerdir. Genellikle gýda alýmýný takiben, zaman zaman ortaya çýkan karýn aðrýsý ve baðýrsak týkanýklýðý bulgularý veren, daha önce karýn ameliyatý ve karýn içi enfeksiyon geçirmemiþ olgularda bu patolojinin akla gelmesi, erken taný ve cerrahi giriþim, morbidite ve mortalite oranlarýný etkileyen en önemli unsurlardýr. Bu yazýda 20 yaþýnda, ameliyat öncesi bilgisayarlý tomografi ile tanýsý koyulabilmiþ bir kadýn olgu literatür bilgileri ýþýðýnda sunuldu.