Evidence map›Paper›PMID 42254927›Full record

ArticleFrontiers in surgery2026

Case Report: Strangulated transverse colon inguinal hernia complicated by cecal perforation in a patient with sclerosing mesenteritis.

Yu Yuan Chang, Je Ming Hu, Yu Cheng Chiu

Abstract readCase Reports
In one paragraph

Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yu Yuan ChangDivision of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan.
Je Ming HuDivision of Colorectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical University, Taipei City, Taiwan.
Yu Cheng ChiuDepartment of General Surgery, Tri-Service General Hospital, National Defense Medical University, Taipei City, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Transverse colon herniation into the inguinal canal is exceptionally rare. The transverse colon, being entirely intraperitoneal and suspended by the transverse mesocolon, is anatomically resistant to inferior displacement. Few cases of transverse colon herniation into inguinal or femoral hernias are documented, most occurring in the presence of giant hernia defects, malignancy, or concurrent omental herniation. We report an unusual case of isolated transverse colon strangulation within a right inguinal hernia in the setting of sclerosing mesenteritis (SM), suggesting a novel pathological mechanism for this rare clinical entity. Case presentation: A 58-year-old man presented with acute abdominal pain and an irreducible right groin mass. Computed tomography demonstrated the transverse colon herniated into the right inguinal canal, cecal dilatation, and pneumoperitoneum. Emergency laparotomy revealed a necrotic transverse colon, a perforated cecum, and fibrotic mesenteric plaques with mesenteric shortening. The patient underwent right hemicolectomy, protective loop ileostomy, and Bassini herniorrhaphy. Histopathology confirmed mesenteric fibrosis without evidence of malignancy. The postoperative course was uneventful, and ileostomy closure was performed three months later. Conclusion: We propose that mesenteric shortening secondary to sclerosing mesenteritis displaced the transverse colon inferiorly, facilitating its herniation through a pre-existing inguinal defect. This potential association suggests that mesenteric fibroinflammatory disease may warrant consideration when encountering atypical hernia contents.

Indexed as

case reportinguinal herniasclerosing mesenteritisstrangulation ileustransverse colon

Identifiers

PMID42254927
PMCPMC13233722

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.