Journals / Çocuk Cerrahisi Dergisi / 2020 / Cilt: 34 - Sayı: 1

A rare cause of childhood intestinal obstruction: Treves’ field hernia

Çocuklarda nadir görülen bir intestinal obstrüksiyon nedeni: Treves alanı hernisi

Pages
30–33
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

TFH should be kept in mind in cases with intestinal obstruction.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A 3-month-old boy with intestinal obstruction is presented to emphasize diagnostic and management features of Treves’ field hernia (TFH).
📊
Key Findings & Data:The patient whose X-ray revealed large-based air-fluid levels, and his ultrasonography demonstrated a cystic lesion extending from bladder to umbilicus was operated.
💡
Conclusion & Impact:TFH should be kept in mind in cases with intestinal obstruction.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A 3-month-old boy with intestinal obstruction is presented to emphasize diagnostic and management features of Treves’ field hernia (TFH). The patient whose X-ray revealed large-based air-fluid levels, and his ultrasonography demonstrated a cystic lesion extending from bladder to umbilicus was operated. Ileal segments herniated through ileal mesenteric defect were reduced. A mesenteric cyst was present at 110 cm of ileum. Since perfusion of ileal segments was decreased, ileostomy was performed and closed after 1 month. He was discharged uneventfully. This is the first case with TFH associated with mesenteric cyst. Coincidence with mesenteric cyst may cause challenges in diagnosis. TFH should be kept in mind in cases with intestinal obstruction.

Özet

İntestinal obstrüksiyon nedeniyle başvuran 3 aylık erkek olgu, Treves alanı hernisinin (TAH) tanı ve tedavi özelliklerini vurgulamak amacıyla sunulmuştur. Direkt grafide geniş tabanlı hava sıvı seviyeleri ve ultrasonografide mesane süperiorundan umbilikusa uzanan kistik lezyonu olan hasta opere edildi. İleoçekal valv düzeyindeki mezenter defektinden herniye olan bağırsaklar redükte edildi. İleum 110. cm’deki mezenter kisti, bağırsak segmenti ile beraber rezeke edildi. İleal segmentlerin dolaşımı bozulduğundan ileostomi yapıldı. Postop 1. ayda ileostomisi kapatılan hasta sorunsuz taburcu edildi. Bu olgu, TAH ile mezenter kistinin birlikte görüldüğü ilk olgudur. Mezenter kistinin eşlik etmesi tanıda güçlüklere neden olabilir. İntestinal obstrüksiyon ile başvuran olgularda TAH akılda tutulmalıdır.

🔖

Cite This Article

ÖZYÜKSEL, G., TÜRER, Ö. B., TANYEL, F. C. (2020). A rare cause of childhood intestinal obstruction: Treves’ field hernia. Çocuk Cerrahisi Dergisi, Cilt: 34 - Sayı: 1, 30–33. https://ajindex.com/articles/148749

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Vaos G, Skondras C. Treves’ field congenital hernias in children: an unsuspected rare cause of acute small bowel obstruction. Pediatr Surg Int 2007;23:337-42.
  2. Çakmak M, Şenyücel MF, Aslan MK, et al. Surgical repair of Treves field mesenteric hernia: Use of purse-string technique. Eur J Pediatr Surg. 2011;21:337-9.
  3. Harbin WP, Andres J, Kim SH. Internal hernia into Treves’ field pouch Case report and review of the literature. Radiology. 1979;130:71-2.
  4. Lough JO, Estrada RL, Wiglesworth FW, et al. Internal Hernia into Treves’ Field Pouch report of two cases and review of literature. J Pediatr Surg. 1969;4:198-207.
  5. Nouira F, Dhaou BM, Charieg A, et al. Small bowel obstruction caused by congenital trans mesenteric defect. Afr J Paediatr Surg. 2011;8:75-8.
  6. Treves F. Lectures on the anatomy of the intestinal canal and peritoneum in Man. Br Med J. 1885;1:470-4.
  7. Kargl S, Pumberger W. Trans mesenteric Treves Field Hernia as a late complication in gastroschisis. Eur J Pediatr Surg. 2014;24:193-5.
  8. Capito C, Povedin J, Lascarrou JB, et al. Large congenital trans mesenteric hernia: a missed small-bowel atresia? Hernia. 2008;13:209-11.
  9. Bertelsen S, Christiansen J. Internal hernia through mesenteric and mesocolic defects: A review of the literature and a report of two cases. Actachirurgica Scandinavica. 1967;133:426-8
  10. Nakazawa N, Okazaki T, Shimotakahara A, et al. Treves’ field pouch hernia: our experience and literature review. Pediatr Surg Int. 2009;25:1013-6.
  11. Pithawa AK, Bansal AS, Kochar SP. Mesenteric cyst: A rare intra-abdominal tumour. Med J Armed Forces India. 2014;70:79-82.
  12. Dassinger MS, Smith SD. Disorders of intestinal rotation and fixation. In: Coran AG, Adzick NS, Krummel TM, Laberge JM, Shamberger RC, Caldamone AA (eds). Pediatric Surgery (7th ed). Philadelphia: Mosby-Elsevier, 2012. https://doi.org/10.1016/B978-0-323-07255-7.00086-6