title: Right sided transmesentric hernia: A rare cause of acute abdomen in adults.
abstract: BACKGROUND
  Transmesenteric mesocolic hernias are a rare cause of acute abdomen in adults with few reported cases in published literature.
  
  
  METHODS
  We report a rare case of a 30-year-old male with right-sided transmesenteric hernia of ileum due to a congenital mesocolic defect resulting in acute abdomen, presenting as acute abdomen. The hernia was reduced, small bowel inspected for gangrene and mesenteric hernia repaired, following which the patient made a good recovery and was discharged 5 days later.
  
  
  CONCLUSIONS
  The insidious onset of transmesenteric herniae and lack of specific radiological or laboratory investigations reaffirms the importance of surgeons maintaining a high index of suspicion for this surgical emergency.
  
  
  CONCLUSIONS
  Transmesentric hernia though rare can present as a case of acute abdomen in an emergency. The diagnosis is purely by a CT scan and close monitoring of the patient's general condition in cases of non-specific abdominal pain is essential to identify the rare deteriorating patient for early surgical intervention and optimal outcome.
authors.affiliation: Sri Ramachandra Medical College, Chennai, India. Electronic address: kaundinyakiran@gmail.com.
authors.forename: Kaundinya Kiran
authors.initials: KK
authors.lastname: Bharatam
authors.affiliation: Sri Ramachandra Medical College, Chennai, India.
authors.forename: C
authors.initials: C
authors.lastname: Kaliyappa
authors.affiliation: Sri Ramachandra Medical College, Chennai, India.
authors.forename: Raja Raghavendra
authors.initials: RR
authors.lastname: Reddy
keywords: Acute abdomen – colic; Adult; Gangrene; Internal hernias; Intestinal obstruction; Right sided transmesenteric hernia