{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T23:24:00Z","timestamp":1787268240128,"version":"build-2736575974"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Innere Hernien sind seltene Ursachen gastrointestinaler Passagest\u00f6rungen, wobei assoziierte Einklemmungsereignisse meist akut auftreten. Chronische Verl\u00e4ufe sind ungew\u00f6hnlich und stellen eine diagnostische Herausforderung dar. Wir berichten \u00fcber eine 78-j\u00e4hrige Patientin mit progredientem Gewichtsverlust von 27 kg in zwei Jahren (BMI 18,1 kg\/m\u00b2 bei Erstvorstellung) und chronischen postprandialen Beschwerden. Eine Computertomografie des Abdomens zeigte ein Whirl-Zeichen im Bereich der A.\/V. mesenterica superior ohne intestinale Obstruktionszeichen, jedoch mit nach kaudal verlagertem Magen. Das Whirl-Zeichen beschreibt eine spiralf\u00f6rmige Konfiguration mesenterialer Gef\u00e4\u00dfe als Ausdruck einer mesenterialen Rotation. Nach Pr\u00e4habilitation erfolgte eine diagnostische Laparoskopie mit Nachweis einer transmesenterialen Hernie. Mittels Laparotomie wurde der vitale D\u00fcnndarm reponiert und die Mesenteriall\u00fccke verschlossen. Der Fall verdeutlicht, dass auch bei chronischer Symptomatik strukturelle, potenziell chirurgisch behandelbare Ursachen in Betracht gezogen werden sollten. Das Whirl-Zeichen kann wegweisend sein, auch au\u00dferhalb akuter Notf\u00e4lle.<\/jats:p>","DOI":"10.1055\/a-2879-9028","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T22:39:39Z","timestamp":1784846379000},"page":"1059-1063","source":"Crossref","is-referenced-by-count":0,"title":["Transmesenteriale Hernie: Eine seltene, operativ behandelbare Ursache chronischer gastrointestinaler Beschwerden"],"prefix":"10.1055","volume":"64","author":[{"given":"Christian","family":"Gest","sequence":"additional","affiliation":[{"name":"Bundeswehrkrankenhaus Berlin, Germany","place":["Berlin"],"department":["Allgemein- und Viszeralchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Schneider","sequence":"additional","affiliation":[{"name":"Bundeswehrkrankenhaus Berlin, Germany","place":["Berlin"],"department":["Radiologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Schulbert","sequence":"additional","affiliation":[{"name":"Bundeswehrkrankenhaus Berlin, Germany","place":["Berlin"],"department":["Allgemein- und Viszeralchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Schneider","sequence":"additional","affiliation":[{"name":"Bundeswehrkrankenhaus Berlin, Germany","place":["Berlin"],"department":["Allgemein- und Viszeralchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2635-0465","authenticated-orcid":false,"given":"Trixi","family":"Braasch","sequence":"additional","affiliation":[{"name":"Bundeswehrkrankenhaus Berlin, Germany","place":["Berlin"],"department":["Innere 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