Lingegowda Anilkumar Pura, Amit B, Pillai Pramod R, Chandrayya Ramachandra
Department of Paediatric Surgery, Sakra World Hospital, Bengaluru, Karnataka, India.
J Indian Assoc Pediatr Surg. 2023 Jan-Feb;28(1):72-74. doi: 10.4103/jiaps.jiaps_73_22. Epub 2022 Dec 12.
Congenital transmesenteric defect is a rare but serious condition which presents a diagnostic challenge as symptoms and investigations are nonspecific. Here, we present a case with fetal ascites and dilated bowel loops who underwent intervention within 6 h of birth. Laparotomy showed volvulus and gangrene of 45 cm of the distal ileum, which was herniating through mesenteric defect. Timely detection and intervention can help in preventing significant morbidity and mortality. Given the downside to delay of surgical intervention and lack of specific tests, open exploration continues to be the only way to establish a definitive diagnosis of a transmesenteric hernia.
先天性肠系膜缺损是一种罕见但严重的疾病，由于症状和检查均不具有特异性，因此诊断颇具挑战。在此，我们报告一例出生后6小时内接受干预的胎儿腹水和肠袢扩张病例。剖腹探查显示回肠末端45厘米处发生扭转和坏疽，并通过肠系膜缺损处疝出。及时检测和干预有助于预防严重的发病率和死亡率。鉴于手术干预延迟的不利影响以及缺乏特异性检查，开放探查仍然是确诊肠系膜疝的唯一方法。
