An unusual case of transverse mesocolic internal XXXX with abnormality of both hands and high arched feet.

@entity1 @entity154 @entity1944 @entity63 @entity6378 @entity1321 @entity547 @entity395 @entity1744 @entity130
INTRODUCTION: An internal abdominal herniation is the protrusion of a viscus through a normal or abnormal mesenteric or peritoneal aperture. It is a rare cause of @entity1744 with a reported incidence of 0.2-0.9%. It can either be acquired through a @entity130 or surgical procedure or can be related to @entity6378 . Herniation through transverse mesocolon is very rare. PRESENTATION OF CASE: A case of @entity1321 due to internal herniation through a congenital rent in transverse mesocolon with rotation of gut approximately 180   around axis of the band. @entity1 also had bilateral hypoplastic thenar muscles with rudimentary 1st metacarpals and high arched feet. Reduction along with derotation of gut, with closure of the rent in transverse mesocolon and fixation of the caecum to lateral peritoneum was performed. DISCUSSION: The preoperative diagnosis of @entity154 is difficult because of wide range of acute abdominal symptoms, and there are no specific radiographic findings. CT is the most important diagnostic tool is, with 77% accuracy in such cases. Due to the risk of strangulation of the hernial contents, even small internal hernias are dangerous and may be lethal. CONCLUSION: Internal @entity547 should be suspected in @entity1 with signs and symptoms of @entity1321 , particularly in the absence of inflammatory @entity1944 , external @entity547 or previous laparotomy. Surgical decision-making is on the basis of clinical findings of @entity1944 or @entity63 , and emergency laparotomy should be performed without preoperative diagnosis of such a @entity395 .
