Spontaneous transverse mesocolic hernia with transverse colon obstruction

ABSTRACT

A case of spontaneous transverse mesocolic hernia, associated with secondary amyloidosis, is presented. The points of particular interest are [1] The presentation of the patient with chronic intermittent colonic obstruction, [2] The unusual mobility of the right colon, [3] The association of secondary amyloidosis with chronic intermittent obstruction and symptomatic improvement after repair of the hernia. Hernias through the mesentery are rare. Herniation through the mesentery of transverse mesocolon accounts for only 16 percent of the cases[1]. Fewer than 85 spontaneous transverse mesocolic hernias have been reported and most of them before 1949[2-4]. This patient presented with chronic large bowel obstruction associated with generalized amyloidosis