Abstract
Congenital mesenteric defects are rare causes of bowel obstruction. Even rarer are
mesenteric defects with an apple peel type of deformity, probably described definitively
only once previously. We present a case of a 3 year old boy who presented with a septic-like picture of severe metabolic acidosis
and lethargy from a bowel obstruction with bowel ischemia. At laparotomy he was found
to have bowel infarction due to herniation through a congenital mesenteric defect
with an apple peel type of deformity of the bowel without bowel atresia.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Congenital and acquired internal hernias: unusual causes of small bowel obstruction.Am J Surg. 1986; 152: 279-285
- Agenesis of the dorsal mesentery without jejunoileal atresia (“apple peel small bowel”).J Pediatr Surg. 1975; 10: 277-279
- Mesenteric hernia: a rare cause of intestinal obstruction in children.J Pediatr Surg. 2002; 37: 1493-1494
- Dorsal mesenteric agenesis without small bowel atresia: a rare cause of midgut volvulus in children.J Pediatr Surg. 2006; 41: E5-E7
- Congenital mesenteric hernia causing intestinal obstruction in children.Eur J Pediatr. 2007; 166: 1045-1047
- Newborn and toddler intestinal obstruction owing to congenital mesenteric defects.J Pediatr Surg. 2008; 43: 755-758
- Congenital mesenteric defects and unexpected death—a rare finding at autopsy.Ped Dev Path. 2008; 11: 245-248
- Large congenital transmesenteric hernia: a missed small-bowel atresia?.Hernia. 2009; 13: 209-2011
- Congenital transmesenteric defect causing bowel strangulation in an adult.Hernia. 2010; 14: 643-645
- Spontaneous adult transmesenteric hernia with bowel gangrene.Hernia. 2011; 15: 343-345
- Sudden death of a child because of an intestinal obstruction caused by a large congenital mesenteric defect.Leg Med. 2012; 14: 157-159
- Adult transmesenteric hernia: report of two cases.Surg Today. 2012; 42: 489-492
- Congenital mesenteric defect: description of a rare cause of distal intestinal obstruction in a neonate.Int J Surg Case Rep. 2012; 3: 121-123
- A mesenteric hernia complicated with a triple necrotic volvulus.BMJ Case Rep. 2012; https://doi.org/10.1136/bcr-2012-006448
- Left paraduodenal hernia causing small bowel obstruction in an adolescent patient.J Pediatr Surg. 2009; 44: 2417-2419
- Congenital and acquired mesocolic hernias presented with small bowel obstruction in childhood and adolescence.J Pediatr Surg. 2010; 45: 438-442
- Internal hernia into Treves’ field pouch report of two cases and review of literature.J Pediatr Surg. 1969; 4: 198-207
- Treves’ field congenital hernias in children: an unsuspected rare cause of acute small bowel obstruction.Pediatr Surg Int. 2007; 23: 337-342
Article info
Publication history
Accepted:
October 3,
2012
Received in revised form:
October 2,
2012
Received:
August 9,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
