Incarcerated transmesenteric hernia following appendectomy in Pediatric patient: case report

Abstract

Transmesenteric hernia is a rare cause of bowel obstruction. It can be strangulation and sepsis
following obstruction and delay diagnosis. There are so many causes of transmesenteric hernia, more
commonly described in postoperative patients, blunt abdominal trauma, inflammatory disease and
less likely congenital.
We present a case of transmesenteric hernia with incarcerated and strangulation of small bowel
in 11-year old girl. She had previous surgery from appendicitis 1 month ago. This admission she had treat
as severe gastritis and supportive treatment for 1 night and her symptom get worse and become early sign
of sepsis. Investigation show she had transmesenteric hernia with bowel strangulation. Emergency laparotomy
was performed. We found small bowel ischemia from herniation through ileum mesentery from adhesion
of ileum to abdominal wall. We resection ischemia segment of ileum and anastomosis and lysis adhesion
to prevent another attack of gut obstruction.