An Unusual Case of Right Transmesocolic Hernia with Ureter at the Neck of Sac

Mahendra Singh Gond, Arjun Saxena, Pawan Agarwal, Uday Somashekar, Dhananjaya Sharma

.
Department of Surgery, Government NSCB Medical College Jabalpur (MP) INDIA.

DOI: 10.4236/ss.2011.26073                

Abstract

The purpose of the present article is to present an unusual case of internal herniation. In this case small bowl obstruction was due to congenital right trans-mesocolic hernia which had the right ureter at the neck of the sac forming a constriction band. This requires careful widening of neck of hernia, so as to avoid iatrogenic trauma to ureter. This unusual presentation needs dissemination as this type of internal hernia is extremely rare.

Keywords

Hernia, Abdominal/Surgery, Intestinal Obstruction/Etiology/Surgery, Mesocolon/Pathology/ Surgery

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	L. C. Martin, E. M. Merkle and W. M. Thompson, “Review of Internal Hernias: Radiographic and Clinical Findings,” American Journal of Roentgenology, Vol. 186, No. 3, 2006, pp. 703-717. doi:10.2214/AJR.05.0644
[2]	M. A. Meyers, “Paraduodenal Hernias: Radiologic and Arteriographic Diagnosis,” Radiology, Vol. 95, 1970, pp. 29-37.
[3]	V. Passas, D. Karavias, D. Grilias and A. Birbas, “Computed Tomography of Left Paraduodenal Hernia,” Journal of Computer Assisted Tomography, Vol. 10, 1986, pp. 542-543.
[4]	C. V. Mann, “Intestinal Obstruction,” In: C. V. Mann and R. C. G. Russel, Eds., Baily and Love’s Short Practice of Surgery, Chapman and Hall, London, 1991, pp. 1168-1193.
[5]	A. Blachar and M. P. Federle, “Internal Hernia: An Increasingly Common Cause of Small Bowel Obstruction,” Seminars in Ultrasound, CT and MRI, Vol. 23, No. 2, 2002, pp. 174-183. doi:10.1016/S0887-2171(02)90003-X
[6]	S. Ghiassi, S. Q. Nguyen, C. M. Divino, J. C. Byrn and A. Schlager, “Internal Hernias: Clinical Findings, Management, and Outcomes in 49 Nonbariatric Cases,” Journal of Gastrointestinal Surgery, Vol. 11, No. 3, 2007, pp. 291-295. doi:10.1007/s11605-007-0086-2
[7]	S. B. Vijayaraghavan, “Sonographic Features of Internal Hernia,” Journal of Ultrasound in Medicine, Vol. 25, No. 1, 2006, pp. 105-110.
[8]	N. Takeyama, T. Gokan, Y. Ohgiya, S. Satoh, T. Hashizume, K. Hataya, H. Kushiro, M. Nakanishi, M. Kusano and H. Munechika, “CT of Internal Hernias,” Radiographics, Vol. 25, No. 4, 2005, pp. 997-1015. doi:10.1148/rg.254045035
[9]	L. F. Tauro, G. Vijaya, C. R. D’Souza, H. C. Ramesh, S. R. Shetty, B. R. Hegde and J. Deepak, “Mesocolic Hernia: An Unusual Internal Hernia,” Saudi Journal of Gastroenterology, Vol. 13, No. 3, 2007, pp. 141-143. doi:10.4103/1319-3767.33468
[10]	Y. Narjis, R. Jgounni, M. N. El Mansouri, K. Rabbani, R. Hiroual, K. Belhadj, A. Ousehal, B. Finech and A. El Idrissi Dafali, “Transmesocolic Internal Herniation: A Rare Case of Small Bowel Obstruction, ‘the Marrakesh Hernia’,” Hernia, Vol. 14, No. 4, 2010, pp. 427-429. doi:10.1007/s10029-009-0553-7