Hemorrhagic Infarction of the Small Intestine due to Transmesenteric Hernia in an Adolescent: A Case Report
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Transmesenteric hernia is so infrequent that sudden unexpected death due to this condition is a very rare occurrence. Because the disease usually occurs in pediatric populations, it is a very rarely observed in adolescents or adults. We report an autopsy case of transmesenteric hernia diagnosed postmortem in an 18-year-old boy who died suddenly after complaining of acute abdominal pains with nausea. Physical examinations, simple abdominal radiographs, and abdominal CT scans failed to provide a clear diagnosis of the illness for 37 h in the hospital. At autopsy, a small round defect of the small bowel mesentery was found, through which a long segment of the small intestine herniated, accompanied by hemorrhagic infarction induced by strangulation obstruction. We would like to present and review this rare autopsy case with medicolegal viewpoints.
Abstract
Transmesenteric hernia is so infrequent that sudden unexpected death due to this condition is a very rare occurrence. Because the disease usually occurs in pediatric populations, it is a very rarely observed in adolescents or adults. We report an autopsy case of transmesenteric hernia diagnosed postmortem in an 18-year-old boy who died suddenly after complaining of acute abdominal pains with nausea. Physical examinations, simple abdominal radiographs, and abdominal CT scans failed to provide a clear diagnosis of the illness for 37 h in the hospital. At autopsy, a small round defect of the small bowel mesentery was found, through which a long segment of the small intestine herniated, accompanied by hemorrhagic infarction induced by strangulation obstruction. We would like to present and review this rare autopsy case with medicolegal viewpoints.
참고문헌 (10)
- Chan KT., "Transmesenteric hernia", Singapore Medical J, 3, pp.34~37 (1963)
- Kakimoto Y, "Transmesenteric hernia due to double-loop formation in the small intestine: a fatal case involving a toddler", Forensic Sci Int, 214, pp.39~42 (2012)
- Vaos G, "Treves’field congenital hernias in children: an unexpected rare cause of acute small bowel obstruction", Pediatr Surg Int, 23, pp.337~342 (2007)
- Takeyama N, "CT of internal hernias", Radiographics, 25, pp.997~1015 (2005)
- Byard RW, "Congenital mesenteric defects and unexpected death-a rare finding at autopsy", Pediatr Surg Int, 11, pp.245~248 (2008)
- Jo GR, "Transmesenteric hernia -An autopsy case-", Korean J Leg Med, 24, pp.57~60 (2000)
- Kim YS, "Transmesenteric hernia-3 autopsy cases-", Korean J Leg Med, 28, pp.56~60 (2004)
- Gyedu A, "Congenital transmesenteric defect causing bowel strangulation in an adult", Hernia, 14, pp.643~645 (2010)
- Blachar A, "Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria", Radiology, 218, pp.68~74 (2001)
- Townsend CM., "Sabiston textbook of surgery: the biological basis of modern surgical practice. 16th ed", pp.812~813 (2001), W.B. Saunders Company