Deger Kamuran C
General Surgery, Biruni University Faculty of Medicine, Istanbul, TUR.
Cureus. 2023 Apr 11;15(4):e37421. doi: 10.7759/cureus.37421. eCollection 2023 Apr.
Mesocolic hernias are a rare cause of small bowel obstruction that occurs when a loop of small bowel herniates through a defect in the mesocolon. We present a case of a 35-year-old male with a mesocolic hernia causing small bowel obstruction, who was successfully treated with laparoscopic reduction and repair. The patient had an uneventful recovery and was discharged on postoperative day 3. Mesocolic hernias should be considered in the differential diagnosis of small bowel obstruction, and prompt diagnosis and surgical intervention are essential to prevent complications such as bowel ischemia and perforation. Laparoscopic treatment can be a safe and effective option for the management of mesocolic hernias. This case report highlights the clinical presentation, radiological features, and surgical management of mesocolic hernias, with a focus on the role of laparoscopy in the treatment of this rare condition.
结肠系膜疝是小肠梗阻的罕见原因，当一段小肠通过结肠系膜的缺损处疝出时就会发生。我们报告一例35岁男性因结肠系膜疝导致小肠梗阻，经腹腔镜复位和修补成功治疗。患者恢复顺利，术后第3天出院。在小肠梗阻的鉴别诊断中应考虑结肠系膜疝，及时诊断和手术干预对于预防诸如肠缺血和穿孔等并发症至关重要。腹腔镜治疗对于结肠系膜疝的处理可以是一种安全有效的选择。本病例报告强调了结肠系膜疝的临床表现、影像学特征及外科治疗，重点关注腹腔镜在治疗这种罕见病症中的作用。
