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Congenital mesenteric hernia in neonates: Still a dilemma
Authors:Parkash Mandhan  Noora Alshahwani  Zainab Al-Balushi  Anwar Arain
Affiliation:Department of Paediatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar;1.Department of Paediatric Surgery, Division of Paediatric Surgery, Sultan Qaboos University Hospital, Al Khod, Muscat, Oman
Abstract:Congenital transmesenteric hernia in neonates is a rare cause of intestinal obstruction with devastating outcomes and still remains a challenge to diagnose pre-operatively. Patients are often managed with emergency surgical exploration and may need bowel resection. We present 2 neonates with small bowel obstruction secondary to strangulated transmesenteric hernia through a congenital defect in the small bowel mesentery, which were managed successfully. We have also reviewed the literature about congenital transmesenteric hernia in neonates.Key words: Congenital mesenteric defect, internal hernia, neonates, small bowel obstruction, transmesenteric hernia
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