| CASE REPORT |
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| Year : 2010 | Volume
: 16
| Issue : 3 | Page : 223-225 |
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Large congenital mesenteric defect presenting in an adult
Zia ur Rehman, Sadaf Khan
Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan
Correspondence Address:
Zia ur Rehman
Department of Surgery, Aga Khan University Hospital, Karachi
Pakistan
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1319-3767.65193
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Congenital internal hernia is a rare cause of bowel obstruction in adults and often presents with complications. A high index of suspicion, occasionally aided by appropriate radiological imaging, should lead to early surgical intervention and thus reduce morbidity and mortality. We describe a case of a 27-year-old woman who presented with upper abdominal pain and nonspecific abdominal signs. Computed tomography showed features of bowel ischemia which prompted surgical intervention. On exploration, she was found to have a large mesenteric defect with herniating ileum and ascending colon. A segment of gangrenous small bowel was resected. The mesenteric defect was repaired and the bowel tacked down to prevent volvulus. The patient made an uneventful recovery. |
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