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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2023  |  Volume : 28  |  Issue : 1  |  Page : 72-74

Congenital transmesenteric hernia – A rare presentation

Department of Paediatric Surgery, Sakra World Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Anilkumar Pura Lingegowda
Flat 411, Wing 2, Sandeep Square Apartment, GEAR School Road, Bhoganahalli, Bellandur Post, Bengaluru - 560 103, Karnataka
Ramachandra Chandrayya
Department of Paediatric Surgery, Sakra World Hospital, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiaps.jiaps_73_22

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Congenital transmesenteric defect is a rare but serious condition which presents a diagnostic challenge as symptoms and investigations are nonspecific. Here, we present a case with fetal ascites and dilated bowel loops who underwent intervention within 6 h of birth. Laparotomy showed volvulus and gangrene of 45 cm of the distal ileum, which was herniating through mesenteric defect. Timely detection and intervention can help in preventing significant morbidity and mortality. Given the downside to delay of surgical intervention and lack of specific tests, open exploration continues to be the only way to establish a definitive diagnosis of a transmesenteric hernia.


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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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