%0 Journal Article
%T Small bowel obstruction caused by congenital transmesenteric defect
%A Nouira F
%A Dhaou Ben
%A Charieg A
%A Ghorbel S
%J African Journal of Paediatric Surgery
%D 2011
%I Medknow Publications
%X Transmesenteric hernias are extremely rare. A strangulated hernia through a mesenteric opening is a rare operative finding. Preoperative diagnosis still is difficult in spite of the imaging techniques currently available. The authors describe two cases of paediatric patients presenting with bowel obstruction resulting from a congenital mesenteric hernia. The first patient had a 3-cm wide congenital defect in the ileal mesentery through which the sigmoid colon had herniated. The second patient is a newborn infant who presented with symptoms and radiographic evidence of neonatal occlusion. At surgical exploration, a long segment of the small bowel had herniated in a defect in the ileal mesentery. A brief review of epidemiology and anatomy of transmesenteric hernias is included, along with a discussion of the difficulties in diagnosis and treatment of this condition.
%K Bowel obstruction
%K children
%K congenital
%K internal hernia
%U http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2011;volume=8;issue=1;spage=75;epage=78;aulast=Nouira