Transmesenteric Hernia in a Peripartum Patient: A Case Report

Abstract

Congenital transmesenteric hernia is a relatively uncommon cause of adult intestinal obstruction.. It  is a type of internal hernia where the bowel loops are strangulated after they protrude through the defects in the mesentery. We describe a patient who presented to the emergency department with persistent abdominal pain after an emergency caesarean section and was later diagnosed with acute pancreatitis after computed tomography findings and elevated pancreatic enzymes. Her suffering was out of proportion to her pancreatitis diagnosis, and her condition quickly deteriorated, necessitating multiorgan care. A obstructed transmesenteric hernia was discovered after reimaging. Surgical intervention was needed right away for the patient. Internal hernia should be considered as one of the differential diagnoses for any atypical acute abdomen, and early intervention could save lives.