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  • Title: Primary defect of ileal mesentery presenting as internal herniation and strangulation of the small bowel: Case report.
    Author: Saleem M, Janjua MH, Sarwar MZ, Naqi SA.
    Journal: J Pak Med Assoc; 2022 Dec; 72(12):2535-2537. PubMed ID: 37246685.
    Abstract:
    Primary internal hernia is a rare entity of acute intestinal obstruction. Delay in diagnosis and surgical intervention can cause ischaemia or gangrene of the small bowel and result in high morbidity and mortality. A 14-year-old boy presented to the emergency department with acute intestinal obstruction. On exploration, 3-4cm mesenteric defect was noted in the ileal region. Strangulated loops of the small bowel had gone through the mesenteric defect in a complicated way. Primary anastomosis was done after resection of the gangrenous small bowel.
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