Transverse mesocolic hernia successfully treated by emergent laparoscopic reduction in a geriatric patient: A case report

Abstract

Introduction and importance

Transverse mesocolic hernia is an extremely rare type of internal hernia, with only a limited number of cases reported to date. In this case report, we present a geriatric patient with a transverse mesocolic hernia who was successfully treated with emergent laparoscopic surgery.

Case presentation

An 89-year-old male patient presented with abdominal pain and distension that had begun the previous day. He had multiple comorbidities, such as diabetes mellitus, hypertension, and prostate cancer. Additionally, he had been prescribed an antiplatelet agent for a history of cerebral infarction. He had no previous abdominal surgery except for an appendectomy at a young age. Computed tomography revealed a closed-loop obstruction of the ileum on the right side of the superior mesenteric vein. Emergent laparoscopy revealed incarceration of the small intestine through a defect in the transverse mesocolon, which was successfully reduced. The postoperative course was uneventful, and the patient was discharged without any decline in activities of daily living.

Clinical discussion

First, this was an extremely rare case of internal hernia that required emergent surgical intervention. Second, minimally invasive surgery was successfully performed, contributing to a rapid postoperative recovery, despite the patient being geriatric and having multiple surgical risk factors.

Conclusion

We managed a case of transverse mesocolic hernia. This case report provides valuable insights into the clinical course of the disease and the effectiveness of emergent laparoscopic reduction in geriatric patients.