caa a22 4500 475752201 CHVBK 20180406123527.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s005950070126 doi (NATIONALLICENCE)springer-10.1007/s005950070126 The occurrence of a strangulated ileus due to a traumatic transmesenteric hernia: Report of a case [Elektronische Daten] [Takayuki Kuga, Satoshi Taniguchi, Takashi Inoue, Nobuya Zempo, Kensuke Esato] We report herein the case of a 6-year-old boy in whom a strangulated ileus was caused by a traumatic transmesenteric hernia. The boy had fallen from his bicycle and suffered a severe blow to the abdomen. Abdominal pain and vomiting developed 10h after the accident and he was admitted to our hospital. Abdominal ultrasonogram and computed tomogram demonstrated ascites, intestinal wall thickening with fluid, and an engorged radiating mesenteric vasculature. Thus, an emergency laparotomy was performed which revealed bloody ascites, a strangulated ileus, and torsion with a transmesenteric hernia. The necrotic intestine was resected and an anastomosis was performed. Macroscopic and microscopic findings revealed a traumatic mesenteric rent. The unusual presentation of this case is discussed. Springer-Verlag, 2000 strangulated ileus nationallicence internal hernia nationallicence transmesenteric nationallicence hernia nationallicence trauma nationallicence Kuga Takayuki First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut Taniguchi Satoshi First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut Inoue Takashi First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut Zempo Nobuya First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut Esato Kensuke First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut Surgery Today Springer-Verlag 30/6(2000-06-01), 548-550 0941-1291 30:6<548 2000 30 595 https://doi.org/10.1007/s005950070126 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070126 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kuga Takayuki First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut NATIONALLICENCE 700 1- Taniguchi Satoshi First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut NATIONALLICENCE 700 1- Inoue Takashi First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut NATIONALLICENCE 700 1- Zempo Nobuya First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut NATIONALLICENCE 700 1- Esato Kensuke First Department of Surgery, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Yamaguchi, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/6(2000-06-01), 548-550 0941-1291 30:6<548 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer