{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:46:07Z","timestamp":1777383967936,"version":"3.51.4"},"reference-count":7,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,3]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Internal hernias due to mesenteric defects are a rare cause of bowel obstruction, but once present their complications are associated with a high morbidity and mortality. We present the case of a 24-year-old patient who presented to the emergency department with a 6-hour history of abdominal pain. Initial surgical review, taking into consideration the patient\u2019s clinical, biochemical and radiological findings, led to the patient being taken for immediate surgical exploration. Operative findings included a very mobile caecum and proximal ascending colon which had herniated through a defect in the small bowel mesentery, the sigmoid colon had subsequently become incarcerated by the caecum and small bowel too. Both the ascending and sigmoid colon had become ischaemic. Due to the early decision for surgical intervention, we were able to consider a number of surgical strategies, and the surgery led to a positive outcome for our patient.<\/jats:p>","DOI":"10.1136\/bcr-2021-242031","type":"journal-article","created":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T11:48:23Z","timestamp":1624448903000},"page":"e242031","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["A mesenteric defect causing internal herniation and ischaemia of both the ascending and sigmoid colons, treated with a bowel preserving surgery"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4211-5805","authenticated-orcid":false,"given":"Nina","family":"Al-Saadi","sequence":"first","affiliation":[{"name":"Department of General Surgery, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Devani","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David I","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J","family":"Bowrey","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,23]]},"reference":[{"key":"2025082707220382000_14.6.e242031.1","unstructured":"Pham PM , Hines OJ . Chapter 22 - Management of bowel complications. In: Complications of urologic surgery. 4th Edn, 2010. https:\/\/www.sciencedirect.com\/science\/article\/pii\/B9781416045724000224"},{"key":"2025082707220382000_14.6.e242031.2","unstructured":"Khader O , Thabet MA . Pericaecal hernia | radiology reference article. Available: https:\/\/radiopaedia.org\/articles\/pericaecal-hernia?lang=gb"},{"key":"2025082707220382000_14.6.e242031.3","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.radcr.2018.11.010","article-title":"Internal hernia with incarceration of the cecum through a loop created by an elongated fallopian tube","volume":"14","author":"Forsythe","year":"2019","journal-title":"Radiol Case Rep"},{"key":"2025082707220382000_14.6.e242031.4","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s12262-012-0620-7","article-title":"Internal hernias: surgeons dilemma-unravelled by imaging","volume":"76","author":"Murali Appavoo Reddy","year":"2014","journal-title":"Indian J Surg"},{"key":"2025082707220382000_14.6.e242031.5","first-page":"1","article-title":"A rare type of primary internal hernia causing small intestinal obstruction","volume":"2016","author":"Kar","year":"2016","journal-title":"Case Rep Surg"},{"key":"2025082707220382000_14.6.e242031.6","doi-asserted-by":"publisher","DOI":"10.1007\/BF02553011"},{"key":"2025082707220382000_14.6.e242031.7","first-page":"20150330","article-title":"Caecal herniation through the foramen of Winslow","volume":"2","author":"Tse","year":"2016","journal-title":"BJR Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-242031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:22:13Z","timestamp":1756304533000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-242031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":7,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,6,23]]},"published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1136\/bcr-2021-242031"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-242031","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}