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Transmesocolic internal herniation: a rare case of small bowel obstruction, “the Marrakesh hernia”
| Journal | Hernia |
| Publisher | Springer Paris |
| ISSN | 1265-4906 (Print) 1248-9204 (Online) |
| Issue | Volume 14, Number 4 / August, 2010 |
| Category | Case Report |
| DOI | 10.1007/s10029-009-0553-7 |
| Pages | 427-429 |
| Subject Collection | Medicine |
| SpringerLink Date | Thursday, September 03, 2009 |
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Case Report
Transmesocolic internal herniation: a rare case of small bowel obstruction, “the Marrakesh hernia”
Y. Narjis1, 3  , R. Jgounni1, M. N. El Mansouri1, K. Rabbani1, R. Hiroual2, K. Belhadj2, A. Ousehal2, B. Finech1 and A. El Idrissi Dafali1
| (1) |
Department of General Surgery, CHU Mohammed VI, Marrakech, Morocco |
| (2) |
Department of Radiology, CHU Mohammed VI, Marrakech, Morocco |
| (3) |
31, Rue Ibnoukatir, No. 2, Mâarif, Casablanca, Morocco |
Received: 24 February 2009 Accepted: 14 August 2009 Published online: 1 September 2009
Abstract Internal hernias, including paraduodenal (traditionally the most common), pericecal, foramen of Winslow, and intersigmoid
hernias, account for approximately 0.5–5.8% of all cases of intestinal obstruction and are associated with a high mortality
rate, exceeding 50% in some series. We report an extremely rare case of an internal abdominal hernia, through the right mesocolon,
in a young woman with a right colon with no peritoneal fixation. This hernia was revealing by abdominal pain, nausea, and
vomiting. The diagnosis of internal hernia was suggested by computed tomography (CT), but the exact type of internal hernia
was confirmed by surgical exploration. The postoperative course was uneventful and the patient fully recovered after 3 days.
The patient is free from symptoms and from recurrence, after 12 months of follow-up.
Keywords Internal hernia - Transmesocolic herniation - Computed tomography
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