[A case of transmesocolic hernia in elderly person without a history of operation].
Internal hernia is defined as the herniation of viscera through an anatomic or pathologic opening within the boundaries of peritoneal cavity. Transmesocolic hernia, a subtype of internal hernia, has a herniated sac through the transverse mesocolon. Transmesocolic hernia has been rarely described in the literature, and most of reported cases were associated with a history of operation or congenital anormaly. A 72-year-old female with chronic intermittent abdominal pain and bloating was admitted. Small bowel series showed multiple jejunal loops confined to the left upper quadrant of abdomen. Abdomen spiral computed tomography (CT) showed a cluster of mildly dilated small bowel loops with mesenteries on the same area. On the three-dimensional reconstruction CT scan, a herniated sac through the transverse mesocolon was identified. She was diagnosed as transmesocolic hernia by using the three-dimensional reconstruction CT and small bowel series, without surgical exploration. The symptoms were managed with conservative measures.
Park
Hoon Suk
HS
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Kim
Jin Il
JI
Kim
Myoung Seok
MS
Kim
Soon Sub
SS
Cho
Se Hyun
SH
Park
Soo-Heon
SH
Han
Joon-Yeol
JY
Kim
Jae Kwang
JK
D000368:Aged; D044684:Colon, Transverse; D005260:Female; D046449:Hernia, Abdominal / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D021621:Imaging, Three-Dimensional; D008646:Mesocolon; D036542:Tomography, Spiral Computed