Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.

Detalhes bibliográficos
Autor(a) principal: Aparício, DJ
Data de Publicação: 2019
Outros Autores: Leichsenring, C, Pignatelli, N, Germano, A, Ferreira, S, Nunes, V
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.10/2237
Resumo: The incidence of internal hernias is rare (0.2-0.9%). The prevalence of intestinal obstruction for an internal hernia is low (0.5-5%), however if strangulation is present the overall mortality is higher than 50%. There are multiple places where an internal hernia may be localized, with transmesenteric: transmesocolic (8%) and transomental (1-4%) as the rarest. We report a series of two cases (men with 40 years-old and women with 92 years old) of volvulus of colon sigmoid in a strangulated transverse and descendent transmesocolic hernia, with one case associated also to a transomental hernia. Both patients were submitted to a Hartmann procedure and on follow-up remained free of complains. In conclusion, transmesenteric internal hernia should be included as diagnosis hypothesis for intestinal occlusion and if the diagnosis is made, the patient should be submitted to emergency surgery due to high rates of complications, high morbidity and mortality.
id RCAP_0db82dd5bfad98cf8ac7a0dc8d983f55
oai_identifier_str oai:repositorio.hff.min-saude.pt:10400.10/2237
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.Intestinal obstructionHerniaX-ray computed tomographyThe incidence of internal hernias is rare (0.2-0.9%). The prevalence of intestinal obstruction for an internal hernia is low (0.5-5%), however if strangulation is present the overall mortality is higher than 50%. There are multiple places where an internal hernia may be localized, with transmesenteric: transmesocolic (8%) and transomental (1-4%) as the rarest. We report a series of two cases (men with 40 years-old and women with 92 years old) of volvulus of colon sigmoid in a strangulated transverse and descendent transmesocolic hernia, with one case associated also to a transomental hernia. Both patients were submitted to a Hartmann procedure and on follow-up remained free of complains. In conclusion, transmesenteric internal hernia should be included as diagnosis hypothesis for intestinal occlusion and if the diagnosis is made, the patient should be submitted to emergency surgery due to high rates of complications, high morbidity and mortality.Oxford University PressRepositório do Hospital Prof. Doutor Fernando FonsecaAparício, DJLeichsenring, CPignatelli, NGermano, AFerreira, SNunes, V2019-05-13T10:51:36Z2019-01-01T00:00:00Z2019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.10/2237engJ Surg Case Rep. 2019 Mar 20;2019(3):rjz0732042-881210.1093/jscr/rjz073info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-20T15:52:55Zoai:repositorio.hff.min-saude.pt:10400.10/2237Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:53:12.236961Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.
title Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.
spellingShingle Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.
Aparício, DJ
Intestinal obstruction
Hernia
X-ray computed tomography
title_short Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.
title_full Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.
title_fullStr Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.
title_full_unstemmed Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.
title_sort Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.
author Aparício, DJ
author_facet Aparício, DJ
Leichsenring, C
Pignatelli, N
Germano, A
Ferreira, S
Nunes, V
author_role author
author2 Leichsenring, C
Pignatelli, N
Germano, A
Ferreira, S
Nunes, V
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório do Hospital Prof. Doutor Fernando Fonseca
dc.contributor.author.fl_str_mv Aparício, DJ
Leichsenring, C
Pignatelli, N
Germano, A
Ferreira, S
Nunes, V
dc.subject.por.fl_str_mv Intestinal obstruction
Hernia
X-ray computed tomography
topic Intestinal obstruction
Hernia
X-ray computed tomography
description The incidence of internal hernias is rare (0.2-0.9%). The prevalence of intestinal obstruction for an internal hernia is low (0.5-5%), however if strangulation is present the overall mortality is higher than 50%. There are multiple places where an internal hernia may be localized, with transmesenteric: transmesocolic (8%) and transomental (1-4%) as the rarest. We report a series of two cases (men with 40 years-old and women with 92 years old) of volvulus of colon sigmoid in a strangulated transverse and descendent transmesocolic hernia, with one case associated also to a transomental hernia. Both patients were submitted to a Hartmann procedure and on follow-up remained free of complains. In conclusion, transmesenteric internal hernia should be included as diagnosis hypothesis for intestinal occlusion and if the diagnosis is made, the patient should be submitted to emergency surgery due to high rates of complications, high morbidity and mortality.
publishDate 2019
dc.date.none.fl_str_mv 2019-05-13T10:51:36Z
2019-01-01T00:00:00Z
2019-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.10/2237
url http://hdl.handle.net/10400.10/2237
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv J Surg Case Rep. 2019 Mar 20;2019(3):rjz073
2042-8812
10.1093/jscr/rjz073
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799130398606753792