Transmesenteric internal hernia with gangrene

Abstract

Transmesenteric internal hernia are rare cause of intestinal obstruction in children. Simple cases have myriad of non specific symptoms. Preoperative clinical and radiological diagnosis is challenging. Complications of volvolus, strangulation and gangrene are poor prognostic factors. High index of suspicion, prompt and appropriate surgical intervention in simple and complicated cases improve management outcome. We present a 3years old girl with a transmesenteric hernia complicated with volvulus and gangrene who did well with segmental bowel resection and end to end anastomosis.