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February 1968

Transmesenteric Hernia

Author Affiliations

Agra, India
From the Sarojini Najdu Medical College, Agra University, Agra, India.

Arch Surg. 1968;96(2):306-308. doi:10.1001/archsurg.1968.01330200144030

ACUTE intestinal obstructions due to defects in the mesentery of the small bowel are quite uncommon. Marsh1 in 1888 reported the first case of transmesenteric hernia. Rooney et al2 in 1963 have described this type of intestinal obstruction due to internal herniation of bowel loops through the constricted narrow mesenteric holes. Thus the common cause had been a constriction by the mesenteric holes, but here we are presenting a case in which the mesenteric defect was very large and the bowel loop that had herniated through the defect had rotated on itself, causing acute intestinal obstruction.

Report of a Case  A 45-year-old woman was admitted to Sarojini Naidu Hospital in Agra on Feb 10, 1967, with the complaint of abdominal pain, vomiting and absolute constipation of three-days duration. Past history revealed occasional abdominal pain and vomiting. Three days prior to admission she had a sudden onset of abdominal

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