Literature Review
Volume 9 Issue 5 - 2022
Hernia of Treitz of Colonic Content an Unexpected Diagnosis: Literature Review

Morelos Adolfo García Sánchez1*, Mireya De La Fuente González2, Ramón Armando Sánchez Tamayo3, Mara Luz Terán Estrella4, Jorge Luis Torres Castañeda4, Wendy García Sánchez4, Cristián Andrés González Vargas4, José Luis García Hernández4, Ana Fernanda Aburto Mariano4, Mauricio Israel Flores Pazos4, Juan David Martínez Gómez4 and Carlos Arturo Martínez Martínez4

1Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico
2General Surgeon, Surgical Department at “Dr. Gaudencio González Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, México
3Internist, Cardiology and Hemodynamicist. Internal Medicine Service. Naucalpan General Hospital ISEM. National Autonomous University of Mexico, México City, México
4General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México

*Corresponding Author: Morelos Adolfo García Sánchez, Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico.
Received: April 13, 2022; Published: April 28, 2022


Introduction: Intestinal obstruction is a very common pathological entity in the Emergency and Surgery services, with a wide portfolio of diagnoses or very diverse in its characteristics or even with atypical presentations; since it can be acute or chronic, anatomical or metabolic, intraluminal or parietal, vascular, colon or small intestine; however, the specific diagnosis in some patients is even unexpected.

Target: Presentation of a case, review and analysis of national and international medical literature.

Case Report and Result: A 54-year-old male with chronic constipation for more than 3 years, with straining and tenesmus, without bleeding; and in the last 3 days with no evacuation and without channeling gases, with nausea, occasional vomiting, hyporexia, asthenia and adynamia. Emergency surgery was performed, finding an internal hernia of the content of the transverse, descending and sigmoid colon, with minimal ischemia and without intestinal perforation.

Discussion: Treitz hernia is extremely rare as a cause of intestinal obstruction, unlike what is reported in the medical literature where the adhesion cause is the first. The clinical picture is really non-specific, which is generalized in the diagnosis of intestinal obstruction, but its real cause is unexpected if auxiliary cabinet resources are not available. The only treatment is immediate surgery, with aggressive support management and with any surgical methodology in any available option.

Conclusion: Specific preoperative diagnosis is a real challenge. The treatment is surgical and the faster it is carried out, the morbidity and mortality complications suffered by patients decrease exponentially.


Keywords: Intestinal Obstruction; Constipation; Treitz's Hernia; Surgical Treatment


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Citation: Morelos Adolfo García Sánchez., et al. “Hernia of Treitz of Colonic Content an Unexpected Diagnosis: Literature Review”. EC Gastroenterology and Digestive System 9.5 (2022): 27-32.

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