title: Mesenteric Defect with Internal Herniation: A Rare Cause of Bowel Obstruction in Newborn.
abstract: Herniation through a congenital mesenteric defect is a rare cause of intestinal obstruction in the newborn. Early diagnosis and surgical treatment improves the prognosis. We present a case of a full-term infant who presented with respiratory distress at birth. Enteral feeding was not started because abdominal distension and delayed passage of meconium. Bowel obstruction was suspected. Radiological investigation did not provide a clear diagnosis. Surgical exploration revealed transmesenteric congenital hernia. After surgical repair, enteral feeding was tolerated and patient was discharged with an uneventful outcome. Diagnostic difficulties were discussed.
authors.affiliation: 1Pediatric Intensive Care Unit, Children's Hospital of Tunis, Tunis, Tunisia.
authors.forename: Hakim
authors.initials: H
authors.lastname: Adnen
authors.forename: Borgi
authors.initials: B
authors.lastname: Aida
authors.forename: Belhadj
authors.initials: B
authors.lastname: Serra
authors.forename: Ghali
authors.initials: G
authors.lastname: Narjess
authors.forename: Hamdi
authors.initials: H
authors.lastname: Asma
authors.forename: Khaldi
authors.initials: K
authors.lastname: Ammar
authors.forename: Menif
authors.initials: M
authors.lastname: Khaled
authors.forename: Jlidi
authors.initials: J
authors.lastname: Said
authors.forename: Ben Jaballah
authors.initials: BJ
authors.lastname: Nejla
mesh_terms: D001201:Ascites / Q000000981:diagnostic imaging / Q000209:etiology; D003937:Diagnosis, Differential; D020345:Enterocolitis, Necrotizing / Q000175:diagnosis; D006547:Hernia / Q000151:congenital*; D006627:Hirschsprung Disease / Q000175:diagnosis; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000175:diagnosis; D007415:Intestinal Obstruction / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging; D008297:Male; D008643:Mesentery / Q000002:abnormalities*; D011707:Pyloric Stenosis / Q000175:diagnosis; D011859:Radiography; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology*; D014463:Ultrasonography
keywords: Internal herniation; bowel obstruction; congenital mesenteric defect; newborn