title: Transmesocolic hernia with strangulation in a patient without surgical history: case report.
abstract: Transmesenteric hernias have bimodal distribution and occur in both pediatric and adult patients. In the adult population, the cause is iatrogenic, traumatic, or inflammatory. We report a case of transmesocolic hernia in an elderly person without any preoperative history. An 84-year-old Korean female was admitted with mid-abdominal pain and distension for 1 d. On abdominal computed tomography, we diagnosed transmesocolic hernia with strangulated small bowel obstruction, and performed emergency surgery. The postoperative period was uneventful and she was discharged 11 d after surgery. Hence, it is important to consider the possibility of transmesocolic hernia in elderly patients with signs and symptoms of intestinal obstruction, even in cases with no previous surgery.
authors.affiliation: Department of Internal Medicine, Bongseng Memorial Hospital, Busan 601-723, South Korea.
authors.forename: Peel
authors.initials: P
authors.lastname: Jung
authors.forename: Min Dae
authors.initials: MD
authors.lastname: Kim
authors.forename: Tae Hyun
authors.initials: TH
authors.lastname: Ryu
authors.forename: Sung Ho
authors.initials: SH
authors.lastname: Choi
authors.forename: Han Se
authors.initials: HS
authors.lastname: Kim
authors.forename: Kang Hun
authors.initials: KH
authors.lastname: Lee
authors.forename: Jhong Hyun
authors.initials: JH
authors.lastname: Park
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006547:Hernia / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*
keywords: Abdominal computed tomography; Internal hernia; Operation; Small bowel obstruction; Strangulation; Transmesocolic hernia