{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:16Z","timestamp":1782956656307,"version":"3.54.5"},"reference-count":10,"publisher":null,"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Transmesentric hernias are a type of internal hernia, in which there is herniation of bowel loops through a defect in the mesentery. They present with a wide variety of symptoms without any specific radiological features, leading to a delay in diagnosis and high mortality rate. Here, we present a case series of four patients with this rare but fatal cause of small bowel obstruction. Three children presented to the emergency department with small bowel obstruction. The other baby was a preterm neonate with an antenatal scan showing small bowel obstruction. All children underwent emergency laparotomy and were found to have a mesenteric defect with herniation and gangrene of the small bowel. Resection anastomosis of the gangrenous segment and closure of the mesenteric defect were done. The differential for small bowel obstruction in children should include transmesentric hernia. Laboratory or imaging investigations are often inconclusive. Timely exploration can save lives in this rare but life-threatening condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_150_22","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T09:00:09Z","timestamp":1723539609000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Congenital Mesenteric Defect with Transmesenteric Hernia in Children"],"prefix":"10.67481","author":[{"given":"Kanjiyil Thamarapilli","family":"Sreekanth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun Kumar","family":"Loganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harshjeet Singh","family":"Bal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-20240829","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1053\/jpsu.2002.35429","article-title":"Mesenteric hernia: A rare cause of intestinal obstruction in children","volume":"37","author":"Garignon","year":"2002","journal-title":"J Pediatr Surg"},{"key":"R2-20240829","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4103\/0189-6725.78934","article-title":"Small bowel obstruction caused by congenital transmesenteric defect","volume":"8","author":"Nouira","year":"2011","journal-title":"Afr J Paediatr Surg"},{"key":"R3-20240829","first-page":"747","article-title":"Mesenteric hernia","volume":"150","author":"Janin","year":"1980","journal-title":"Surg Gynecol Obstet"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1007\/s00383-009-2465-0","article-title":"Treves'field pouch hernia: Our experience and literature review","volume":"25","author":"Nakazawa","year":"2009","journal-title":"Pediatr Surg Int"},{"key":"R5-20240829","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1136\/bmj.1.1262.470","article-title":"Lectures on the anatomy of the intestinal canal and peritoneum in man","volume":"1","author":"Treves","year":"1885","journal-title":"Br Med J"},{"key":"R6-20240829","first-page":"321","article-title":"Les hernies dites trans-mesocoliques;meso \u2013 Colon transverse","volume":"43","author":"Menegaux","year":"1934","journal-title":"J Chir"},{"key":"R7-20240829","first-page":"33","article-title":"Alveolar porre in the lungs of man and other mammals","volume":"61","author":"Macklin","year":"1935","journal-title":"Anat Rec Suppl"},{"key":"R8-20240829","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/S0887-2171(02)90003-X","article-title":"Internal hernia: An increasingly common cause of small bowel obstruction","volume":"23","author":"Blachar","year":"2002","journal-title":"Semin Ultrasound CT MR"},{"key":"R9-20240829","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":"R10-20240829","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1007\/s00431-006-0377-8","article-title":"Congenital mesenteric hernia causing intestinal obstruction in children","volume":"166","author":"Ming","year":"2007","journal-title":"Eur J Pediatr"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_150_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:38Z","timestamp":1782953378000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_150_22"}},"subtitle":["A Case Series"],"short-title":[],"issued":{"date-parts":[[2023,4,10]]},"references-count":10,"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_150_22","relation":{},"ISSN":["0189-6725"],"issn-type":[{"value":"0189-6725","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4,10]]}}}