Congenital Trans Mesenteric Hernia (CTMH) in a Female Patient with Familial Mediterranean fever (FMF): Case Report and Review of the Literature

Abstract

Marina J AL Ataallah and Rateb Shahoud

Congenital Trans mesenteric Hernia (CTMH) is a rare entity of internal hernia that occur as a congenital defect in children due to an error in the rotation of the midget, presenting usually with an abdominal pain, fever and bilious vomiting. However, if left untreated, disastrous outcomes such as acute bowel obstruction and strangulation can take place. Its diagnosis is sometimes challenging to physicians and requires exploratory laparotomy to confirm the presence of a hernia defect. CT scan prior to surgery is seldom needed and may not have a benefit to guide for the exact diagnosis. For treatment, surgical repair, either open or laparoscopic, is the procedure of choice to manage such a condition. We report a case of CTMH in a 3.5–year-old female patient who presented to our hospital with abdominal pain and inconsolable crying.

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