Transmesenteric hernias have bimodal distribution and occur in both pediatric and adult patients. In the adult population, the cause is iatrogenic, traumatic, or inflammatory. We report an extremely rare case of congenital transmesenteric hernia in a middle aged female. A 27 yr old female patient presented with acute intestinal obstruction and septicaemia, without any previous history of surgery. Explorative laparotomy revealed gangrenous bowel herniating through congenital defect in mesentery. Resection, end to end anastomosis of bowel and repair of defect in mesentery was done. The postoperative period was uneventful and she was discharged seven day after surgery. Hence, it is important to consider the possibility of transmesenteric hernia in patients with signs and symptoms of intestinal obstruction, even in cases with no previous surgery.
Hernia, strangulated hernia, intestinal obstruction, internal abdominal hernia, transmesenteric hernia.