• Orhan Kalaycı, Ahmet Yazıcı, Mustafa Yandı, and Serdar Topaloğlu.
• Department of General Surgery, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.
• Ulus Travma Acil Cer. 2015 Sep 1; 21 (5): 410-3.

AbstractCongenital mesenteric defects are rare and often recognized only in surgery or autopsy. Preoperative diagnosis of an internal hernia is quite rare. A common symptom of trans-mesenteric intestinal herniation is intermittent postprandial pain. If there is strangulation of the mesenteric internal herniation, there is often vomiting and constipation. Signs and symptoms of a bowel obstruction in a patient without previous abdominal surgery or inguinal hernia as well as without history of intra-abdominal operation and infection suggest the possibility of a congenital mesenteric defect with internal herniation. Early diagnosis and surgical treatment are important to reduce morbidity and mortality. This study aimed to present the case of a 20-year-old female patient on whom preoperative diagnosis of internal trans-mesenteric internal hernia was made.

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