{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:59:24Z","timestamp":1768435164235,"version":"3.49.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Internal intestinal hernia has been defined as a bulging of the intestines through a normal or an abnormal peritoneal or mesenteric opening.1 Internal hernias are a rare cause of small-bowel obstruction, with a reported incidence of 0.2-0.9%.2<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>In this report, the patient presented with multiple episodes of intestinal obstruction. High index of suspicion aided the appropriate management of this case. An abdominal CT revealed signs of small bowel obstruction. With negative signs and symptoms indicating adhesions, malignancy or inflammatory causes, mesenteric defect was suspected. When the patient underwent laparotomy, multiple mesenteric defects were found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>In the adult population, acquired mesenteric defects are more common than congenital defects. They can be caused by bowel surgery or abdominal trauma.11 Patients with a history of blunt abdominal trauma may present with late complication caused by a missed diagnosis of an associated injury, such as bowel mesenteric injuries.<\/jats:p>\n                    <jats:p>In this case, the author describes a patient who developed multiple attacks of small bowel obstruction. He had no previous history of similar symptoms but did give a history of recent abdominal trauma managed conservatively. An abdominal CT was performed, and it showed signs of a mesenteric defect. In such a case, early operative intervention is essential to decrease morbidity and increase survival. 16<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>The diagnosis of post traumatic mesenteric injuries can be missed in conservatively managed trauma cases. For this reason, the decision of non-operative approach should be made following the exclusion of associated injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2013.03.028","type":"journal-article","created":{"date-parts":[[2013,3,29]],"date-time":"2013-03-29T00:01:39Z","timestamp":1364515299000},"page":"547-549","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Post traumatic acquired multiple mesenteric defects"],"prefix":"10.1097","volume":"4","author":[{"given":"Hager","family":"Aref","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bandar","family":"Felemban","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-7-20260114","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1308\/147870810X12659688851997","article-title":"A massive left paraduodenal fossa hernia as an unusual cause of small bowel obstruction","volume":"92","author":"Virich","year":"2010","journal-title":"Annals of the Royal College of Surgeons of England"},{"key":"R2-7-20260114","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1148\/95.1.29","article-title":"Paraduodenal hernias: radiologic and arteriographic diagnosis","volume":"95","author":"Meyers","year":"1970","journal-title":"Radiology"},{"key":"R3-7-20260114","first-page":"168","article-title":"Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria","volume":"218","author":"Blachar","year":"2001","journal-title":"Radiology"},{"key":"R4-7-20260114","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1007\/s003300050863","article-title":"Intestinal stenosis from mesenteric injury after blunt abdominal trauma","volume":"9","author":"De Backer","year":"1999","journal-title":"European Radiology"},{"key":"R5-7-20260114","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1097\/00000658-198404000-00015","article-title":"Blunt abdominal trauma","volume":"199","author":"Cox","year":"1984","journal-title":"Annals of Surgery"},{"key":"R6-7-20260114","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/01.ta.0000222585.76302.17","article-title":"Outcomes of management of in stable children with intra-abdominal free fluid without solid organ injury after blunt abdominal trauma","volume":"62","author":"Venkatesh","year":"2007","journal-title":"Journal of Trauma"},{"key":"R7-7-20260114","first-page":"542","article-title":"Computed tomography of left paraduodenal hernia","volume":"10","author":"Passas","year":"1986","journal-title":"Journal of Computer Assisted Tomography"},{"key":"R8-7-20260114","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1148\/radiology.218.1.r01ja5368","article-title":"Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria","volume":"218","author":"Blachar","year":"2001","journal-title":"Radiology"},{"key":"R9-7-20260114","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1080\/00015458.2006.11679849","article-title":"Internal herniation with fatal outcome: herniation through an unusual aperture between epiploic appendices and greater omentum","volume":"106","author":"Kulacoglu","year":"2006","journal-title":"Acta Chirurgica Belgica"},{"key":"R10-7-20260114","first-page":"311","article-title":"Intestinal hernias in infancy and childhood","volume":"55","author":"Murphy","year":"1964","journal-title":"Surgery"},{"key":"R11-7-20260114","doi-asserted-by":"crossref","first-page":"223","DOI":"10.4103\/1319-3767.65193","article-title":"Large congenital mesenteric defect presenting in an adult","volume":"16","author":"ur Rehman","year":"2010","journal-title":"Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association"},{"key":"R12-7-20260114","doi-asserted-by":"crossref","first-page":"245","DOI":"10.2350\/07-12-0392.1","article-title":"Congenital mesenteric defects and unexpected death - 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