Large congenital mesenteric defect presenting in an adult

Zia Ur Rehman, Sadaf Khan

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)


Congenital internal hernia is a rare cause of bowel obstruction in adults and often presents with complications. A high index of suspicion, occasionally aided by appropriate radiological imaging, should lead to early surgical intervention and thus reduce morbidity and mortality. We describe a case of a 27-year-old woman who presented with upper abdominal pain and nonspecific abdominal signs. Computed tomography showed features of bowel ischemia which prompted surgical intervention. On exploration, she was found to have a large mesenteric defect with herniating ileum and ascending colon. A segment of gangrenous small bowel was resected. The mesenteric defect was repaired and the bowel tacked down to prevent volvulus. The patient made an uneventful recovery.

Original languageEnglish
Pages (from-to)223-225
Number of pages3
JournalSaudi Journal of Gastroenterology
Issue number3
Publication statusPublished - 1 Jul 2010


  • Internal hernias
  • Intestinal obstruction
  • bowel ischemia
  • mesenteric defect


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