title: Post-operative transmesosigmoid hernia causing small bowel obstruction: a case report.
abstract: Internal hernia is an unusual cause of small bowel obstruction and classified several types according to locations. Transmesosigmoid hernia is rare type among others mesosigmoid hernia was rarely reported in the literature. We report the case of a 44-year-old male who presented with acute abdominal pain and developed a small intestinal obstruction. History, clinical and radiography examination were suggested intestinal obstruction due to postoperative adhesion. The diagnosis of small bowel obstruction due to internal hernia was confirmed by laparotomy exploration. The herniated loop was reduced successfully and the defect was approximated with interrupted sutures. The postoperative course was uneventful and the patient is free from symptoms and recurrence. This case report highlight difficulty and importance of high index of suspicion considering an internal hernia as a cause of small bowel obstruction in individuals of all age groups with or without a previous history of abdominal surgery.
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Robleh Hassan
authors.initials: RH
authors.lastname: Farah
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Yassine
authors.initials: Y
authors.lastname: Fahmi
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Driss
authors.initials: D
authors.lastname: Khaiz
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Khalid
authors.initials: K
authors.lastname: Elhattabi
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Fatimazahra
authors.initials: F
authors.lastname: Bensardi
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Rachid
authors.initials: R
authors.lastname: Lefriyekh
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Saad
authors.initials: S
authors.lastname: Berrada
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Abdelaziz
authors.initials: A
authors.lastname: Fadil
authors.affiliation: Service des Urgences Chirurgicales Viscérales, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
authors.forename: Najib Zerouali
authors.initials: NZ
authors.lastname: Ouariti
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D046449:Hernia, Abdominal / Q000150:complications* / Q000601:surgery; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D000069290:Incisional Hernia / Q000150:complications* / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology; D007813:Laparotomy; D008297:Male
keywords: Internal hernia; intestinal obstruction; transmesosigmoid hernia