{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:10:33Z","timestamp":1785424233981,"version":"3.56.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Persistent ascending mesocolon (PAM) is a rare congenital anomaly in \u20532%\u20134% of individuals. PAM is associated with various complications, including volvulus of the colon and caecum, bowel perforation, intestinal obstruction, and adhesions. This case is reported on a 48-year-old woman who reported to the Ho Teaching Hospital specialist clinic with a 13-year history of initial painless and reducible paraumbilical swelling. Management was based on a surgical approach. The content of the hernia sac was unusual with a viable appendix, caecum, ascending and transverse colons inclusive, and ascending mesocolon was persistent. The repair was done through an anterior component separation technique. An onlay mesh repair was fashioned with a 30\u00a0cm\u2009\u00d7\u200930\u00a0cm polypropylene mesh. This case report highlights the complexities of managing a giant paraumbilical hernia in a morbidly obese patient with a PAM, a rare congenital anomaly.<\/jats:p>","DOI":"10.1093\/jscr\/rjae834","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T16:03:25Z","timestamp":1736265805000},"source":"Crossref","is-referenced-by-count":1,"title":["Persistent ascending mesocolon: an unexpected content in a giant and complex paraumbilical hernia of a 48-year-old obese woman"],"prefix":"10.1093","volume":"2025","author":[{"given":"Nuhu N","family":"Naabo","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Medicine, University of Health and Allied Sciences , PMB31, Ho ,","place":["Ghana"]},{"name":"Department of Surgery, Ho Teaching Hospital , P.O. Box MA 374, Ho ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6939-8198","authenticated-orcid":false,"given":"Raymond S","family":"Maalman","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, School of Medicine, University of Health and Allied Sciences , PMB31, Ho ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aishah F","family":"Adamu","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, School of Medicine, University of Health and Allied Sciences , PMB31, Ho ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6654-2623","authenticated-orcid":false,"given":"Mohammed N","family":"Naabo","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Sciences, University of Arizona , Tucson, Arizona 85721,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Mensah","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology , P.O. Box Up 1279, Kumasi ,","place":["Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"2025010715285024800_ref1","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1111\/1754-9485.13347","article-title":"Radiological features and clinical implications of persistent congenital mesocolon: pictorial essay","volume":"66","author":"Ghahremani","year":"2022","journal-title":"J Med Imaging Radiat Oncol"},{"key":"2025010715285024800_ref2","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1007\/BF02256465","article-title":"Congenital positional anomalies of the colon: radiographic diagnosis and clinical implications. II. 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