Incarcerated transmesosigmoid hernia presenting in a 60-year-old man: a case report

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Right Paraduodenal Hernia in an Adult Patient: Diagnostic Approach and Surgical Management

Paraduodenal hernia, a rare congenital anomaly which arises from an error of rotation of the midgut, is the most common type of intraabdominal hernia. There are two variants, right and left paraduodenal hernia, the right being less common. We report the case of a 41-year-old patient with a right paraduodenal hernia with a 6-month history of intermittent episodes of intestinal obstruction. Diagnosis was established by CT scan and upper gastrointestinal series with small bowel follow-through. In a planned laparotomy, herniation of the small bowel loops through the fossa of Waldeyer was found. Division of the lateral right attachments of the colon opened the hernia sac widely, replacing the pre- and postarterial segments of the intestine in the positions they would normally occupy at the end of the first stage of rotation during embryonic development. Six months after the surgery, after an uneventful recovery, the patient remains free of symptoms

Transmesocolic Herniation of Small Bowel Following Colonic Interposition

This report focuses on iatrogenic transmesocolic hernia causing small bowel obstruction following colonic interposition. Of 45 patients undergoing visceral esophageal substitution using colon, three developed small bowel obstruc-. tion due to internal herniation of a loop of small bowel through a defect in the mesocolon. Awareness of this unique cause of small bowel obstruction following colonic interposition and institution of early surgical treatment will prevent irreparable intestinal damage associated with internal Hernias.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72099/1/j.1440-1673.1985.tb01678.x.pd

Heal mucosal diaphragm causing small bowel obstruction

A case of small bowel obstruction in an adult due to ileal mucosal diaphragm is reported. This unusual cause of small bowel obstruction to the best of our knowledge has not been previously reported. The cause of intestinal diaphragm remains uncertain.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/48153/1/261_2005_Article_BF01948089.pd