Mesenteric hiatal hernia

Mesenteric hiatal hernia is caused by the bowel loops through the mesenteric hiatus. Rokitansky (1826) found for the first time at the autopsy that the cecum hernia had entered the ileum and mesenteric fissures near the colon. Loebl (1844) reported the first case of a transverse mesenteric hiatal hernia. Turel (1932) first reported a case of sigmoid hiatal hernia. Marsh (1888) and Ackerman (1902) successfully treated patients with mesenteric hiatal hernia. The disease is rare clinically, and its main manifestation is intestinal obstruction. Clinical data statistics show that the acute intestinal obstruction caused by mesenteric hiatal hernia accounts for about 1% to 2% of acute mechanical intestinal obstruction. Because of the absence of a hernia sac support, the hernia into the mesenteric hiatus is very prone to twisting, strangulation, necrosis and perforation, and severe cases can be life threatening. Preoperative diagnosis is difficult.