{
    "abstract": "Traumatic transmesenteric hernia (TTMH) is an exceptionally rare condition with high morbidity and mortality, particularly in children. It can cause life-threatening complications such as ischemic enterocolitis. Internal hernias, including transmesenteric types, are difficult to diagnose preoperatively and are often discovered during emergency laparotomy.\nA 13-year-old girl presented with acute abdominal pain, bilious vomiting, and hypovolemic shock. She had sustained blunt abdominal trauma from a fall two weeks earlier. Initial resuscitation and imaging raised concerns for acute intestinal obstruction. Due to clinical deterioration, an emergency exploratory laparotomy was performed, revealing a transmesenteric hernia with 120\u00a0cm of ischemic ileum. Bowel resection and a double-barrel ileostomy were performed. Histopathology confirmed ischemic enterocolitis secondary to the hernia. The patient recovered well and later underwent successful ileostomy reversal.\nTransmesenteric hernias are rare, typically congenital or post-surgical, with traumatic cases being extremely uncommon. Diagnosis is challenging due to a lack of specific clinical findings. Delayed intervention increases the risk of bowel ischemia and mortality.\nThis case highlights the diagnostic difficulty of TTMH and emphasizes the need for a high index of suspicion in trauma patients presenting with acute abdomen. Educating patients with trauma about warning signs & follow up is the recommendation.",
    "authors": [
        {
            "affiliation": "Dhaka Medical College, Bangladesh. Electronic address: zahin.shahriar123@gmail.com.",
            "firstname": "Zahin",
            "initials": "Z",
            "lastname": "Shahriar"
        },
        {
            "affiliation": "M Abdur Rahim medical college, Bangladesh.",
            "firstname": "Deluwar",
            "initials": "D",
            "lastname": "Hussen"
        },
        {
            "affiliation": "Dhaka Medical College, Bangladesh.",
            "firstname": "Saidul",
            "initials": "S",
            "lastname": "Mustofa"
        }
    ],
    "conclusions": "This case highlights the diagnostic difficulty of TTMH and emphasizes the need for a high index of suspicion in trauma patients presenting with acute abdomen. Educating patients with trauma about warning signs & follow up is the recommendation.",
    "copyrights": "Copyright \u00a9 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.",
    "doi": "10.1016/j.ijscr.2025.111314",
    "journal": "International journal of surgery case reports",
    "keywords": [
        "Acute intestinal obstruction",
        "Exploratory laparotomy",
        "Internal hernia",
        "Ischemic enterocolitis",
        "Pediatric emergency",
        "Traumatic transmesenteric hernia"
    ],
    "methods": null,
    "publication_date": "2025-04-23",
    "pubmed_id": "40262511",
    "results": null,
    "title": "Traumatic transmesenteric hernia leading to ischemic enterocolitis in an adolescent - case report.",
    "xml": "<Element 'PubmedArticle' at 0x7885029495d0>"
}