Vallumsetla Ramesh, Govind Rao N
Department of General Surgery, ESI Hospital, Sanathnagar, Hyderabad, AP India.
Indian J Surg. 2010 Jun;72(3):268-70. doi: 10.1007/s12262-010-0065-9. Epub 2010 Aug 26.
Congenital transmesenteric internal hernia is a rare condition presenting as recurrent pain abdomen or acute intestinal obstruction. Preoperative diagnosis of internal hernia is very rare. Early intervention and surgical correction goes a long way in preventing high morbidity and mortality associated with cases of internal hernia. We report a case of congenital transmesenteric intra-abdominal hernia presented as acute abdomen with timely surgical intervention in the form of emergency laparotomy with untwisting and reduction of small bowel herniated through large congenital terminal ileal mesenteric defect and repair of mesenteric defect.
先天性经肠系膜内疝是一种罕见疾病，表现为反复腹痛或急性肠梗阻。术前诊断内疝极为罕见。早期干预和手术矫正对于预防与内疝病例相关的高发病率和死亡率大有帮助。我们报告一例先天性经肠系膜腹内疝，表现为急腹症，通过急诊剖腹探查术及时进行手术干预，松解并还纳经先天性巨大回肠末端肠系膜缺损疝出的小肠，同时修复肠系膜缺损。
