A CASE OF SMALL BOWEL OBSTRUCTION SECONDARY TO TRANSVERSE MESOCOLIC INTERNAL HERNIATION
Received 2020-07-21; Accepted 2021-09-13; Published 2021-10-6
Keywords:: small bowel obstruction, transversemesocolic internal herniation, CT features.
Internal abdominal herniation can be a cause for bowel obstruction and still being under diagnosed. Transmesenteric internal herniation is increasing in occurrence as more surgical intervention being performed. Clinical diagnosis of internal herniation can be very challenging. Computed tomography could be the first imaging modality to discover a clinically unsuspected internal herniation especially in patient with previous surgical intervention. Radiologist should be aware of computed tomography features like reversal of the normal anatomical arrangement of the bowels as well as the mesenteric vessel changes, which raise the suspicion of internal hernia in patient presenting with bowel obstructive symptoms.
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