Large congenital mesenteric defect presenting in an adult.
Congenital internal hernia is a rare cause of bowel obstruction in adults and often presents with complications. A high index of suspicion, occasionally aided by appropriate radiological imaging, should lead to early surgical intervention and thus reduce morbidity and mortality. We describe a case of a 27-year-old woman who presented with upper abdominal pain and nonspecific abdominal signs. Computed tomography showed features of bowel ischemia which prompted surgical intervention. On exploration, she was found to have a large mesenteric defect with herniating ileum and ascending colon. A segment of gangrenous small bowel was resected. The mesenteric defect was repaired and the bowel tacked down to prevent volvulus. The Patient made an uneventful recovery.
Saudi Journal of Gastroenterology : official Journal of the Saudi Gastroenterology Association
ur Rehman, Z.,
(2010). Large congenital mesenteric defect presenting in an adult.. Saudi Journal of Gastroenterology : official Journal of the Saudi Gastroenterology Association, 16(3), 223-5.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_surg_surg/53