| Hemorrhagic Infarction of the Small Intestine due to Transmesenteric Hernia in an Adolescent: A Case Report. |
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Minsung Choi, Jong Hyeok Park, Seok Hoon Jeon, Han Young Lee, Joong Seok Seo, Hyoung Joong Kim |
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Division of Forensic Medicine, National Forensic Service, Seoul, Korea. giifpap@korea.kr |
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| Abstract |
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Transmesenteric hernia is so infrequent that sudden unexpected death due to this condition is a very rare occurrence. Because the disease usually occurs in pediatric populations, it is a very rarely observed in adolescents or adults. We report an autopsy case of transmesenteric hernia diagnosed postmortem in an 18-year-old boy who died suddenly after complaining of acute abdominal pains with nausea. Physical examinations, simple abdominal radiographs, and abdominal CT scans failed to provide a clear diagnosis of the illness for 37 h in the hospital. At autopsy, a small round defect of the small bowel mesentery was found, through which a long segment of the small intestine herniated, accompanied by hemorrhagic infarction induced by strangulation obstruction. We would like to present and review this rare autopsy case with medicolegal viewpoints. |
| Key Words:
transmesenteric hernia, hemorrhagic infarction, small intestine, sudden death, adolescent |
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