Department of Internal Medicine, Bongseng Memorial Hospital, Busan 601-723, South Korea.
World J Gastroenterol. 2013 Mar 28;19(12):1997-9. doi: 10.3748/wjg.v19.i12.1997.
Transmesenteric hernias have bimodal distribution and occur in both pediatric and adult patients. In the adult population, the cause is iatrogenic, traumatic, or inflammatory. We report a case of transmesocolic hernia in an elderly person without any preoperative history. An 84-year-old Korean female was admitted with mid-abdominal pain and distension for 1 d. On abdominal computed tomography, we diagnosed transmesocolic hernia with strangulated small bowel obstruction, and performed emergency surgery. The postoperative period was uneventful and she was discharged 11 d after surgery. Hence, it is important to consider the possibility of transmesocolic hernia in elderly patients with signs and symptoms of intestinal obstruction, even in cases with no previous surgery.
肠系膜疝呈双模态分布,可发生于儿童和成人患者。在成人中,病因是医源性、创伤性或炎症性的。我们报告了一例老年患者无术前病史的横结肠系膜疝。一名 84 岁韩国女性因腹痛和腹胀 1 天入院。腹部 CT 诊断为横结肠系膜疝合并绞窄性小肠梗阻,并进行了紧急手术。术后恢复顺利,术后 11 天出院。因此,对于有肠梗阻症状和体征的老年患者,即使无既往手术史,也应考虑横结肠系膜疝的可能性。