Transmesenteric hernia after right nephrectomy: diagnostic and therapeutic management

G. Di Rocco, G. Casella, D. Giannotti, M.G. Bernieri, M. Marchetti, C. Iavarone, S. Trapè, G. Patrizi, A. Redler

Department of Surgical Sciences, and Department of Radiology; “Sapienza” University of Rome, Rome, Italy. giorgiodirocco@virgilio.it

 

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• Surgery

Internal abdominal hernias are a rare cause of intestinal obstruction (0.2-0.9%). Transmesenteric hernia is a rare type of internal hernia and usually in adult people is acquired.

We report the case of a 44 year-old caucasian female with a small bowel occlusion after right nephrectomy for clear cell renal carcinoma caused by an acquired transmesenteric hernia. We emphasize the role of CT scanning for a prompt diagnosis and a quick surgical treatment in order to avoid intestinal gangrene.

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