Salam Doaa Hussin, Al-Tarakji Mohannad, Alaieb Abubaker Ibrahim, Singh Rajvir, El-Menyar Ayman, Al-Thani Hassan, Zarour Ahmad, Ellabib Mohamed
Department of Surgery, Acute Surgery Care, Hamad General Hospital, Doha, Qatar.
Department of Surgery, Trauma Surgery, Hamad General Hospital, Doha, Qatar.
J Surg Case Rep. 2020 Oct 21;2020(10):rjaa417. doi: 10.1093/jscr/rjaa417. eCollection 2020 Oct.
The prevalence of transmesocolic hernias, a subtype of internal hernias (IHs), is generally low. Its clinical consequences, including strangulation, ischemia and even death, however, necessitate awareness. IHs are classified as congenital or acquired as resulting from surgery, trauma or intraperitoneal inflammation. This is a case of a 37-year-old male victim of a motor vehicle collision 1 month prior to the index admission. The trauma-related injuries were managed conservatively and then discharged home. The patient was re-admitted with a 2-day history of epigastric pain, vomiting and abdominal distension. A diagnosis of small bowel obstruction due to a transmesocolic hernia was made on CT and emergency laparotomy performed. The post-operative course was unremarkable. It is vital to consider transmesocolic hernias in trauma patients presenting with a picture of bowel obstruction even in the absence of prior surgery.
结肠系膜内疝是内疝的一种亚型，其发病率通常较低。然而，其临床后果，包括绞窄、缺血甚至死亡，需要引起重视。内疝分为先天性或后天性，后天性是由手术、创伤或腹膜内炎症引起的。这是一例37岁男性患者，在本次入院前1个月因机动车碰撞受伤。创伤相关损伤经保守治疗后出院回家。患者因上腹部疼痛、呕吐和腹胀2天再次入院。CT检查诊断为结肠系膜内疝导致的小肠梗阻，并进行了急诊剖腹手术。术后过程顺利。对于出现肠梗阻症状的创伤患者，即使没有既往手术史，也必须考虑结肠系膜内疝。
