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  • Title: A transmesenteric hernia in a child: gangrene of a long segment of small bowel through a large mesenteric defect.
    Author: Park CY, Kim JC, Choi SJ, Kim SK.
    Journal: Korean J Gastroenterol; 2009 May; 53(5):320-3. PubMed ID: 19458470.
    Abstract:
    Intestinal obstruction is a common surgical emergency. Transmesenteric hernia is an unusual cause of bowel obstruction that may result in irreversible damage of the bowel and a fatal outcome. Once incarceration of the bowel occurs, strangulation and gangrene follow immediately. The mortality rate associated with this condition is about 15%, but in the presence of gangrene of the bowel, the mortality rate is more than 50%. An accurate preoperative diagnosis of a transmesenteric hernia is very difficult and rarely made. Therefore, in patients with small bowel obstruction, in the absence of a history of previous surgery to suggest adhesions or an external hernia, the possibility of a transmesenteric hernia must be considered. We describe a case with gangrene of a long segment of the small bowel caused by a transmesenteric hernia through a large defect of small bowel mesentery in a child.
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