AI Article Synopsis

  • Congenital trans-mesenteric hernias (CTMHs) are primarily found in children, but adults often present more severe complications that arise from the condition.
  • Diagnosis is frequently delayed, leading to serious health risks like bowel ischemia due to a lack of specific symptoms.
  • A case highlights that a radiologist's observation of abnormal swirling in the superior mesenteric artery on a CT angiogram can indicate CTMH, emphasizing the need for prompt surgical intervention to reduce complications.

Article Abstract

Congenital trans-mesenteric hernias (CTMHs) are caused by rent in the mesentry of bowel. The lesions commonly present in pediatric age group. Adult CTMHs usually present with complication of the problem. The diagnosis is often late and is associated with morbidity as well as mortality due to bowel ischemia. There is no specific sign associated with this condition. A case is reported of a patient diagnosed with CTMH on high suspicion by the radiologist based on her finding of abnormal swirling of superior mesenteric artery on CT angiogram. Swirl sign on CT angiogram warrants an early surgical consultation to prevent any morbidity.

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Source
http://dx.doi.org/10.29271/jcpsp.2018.03.S13DOI Listing

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