Transmesocolic Hernia Without a History of Digestive Surgery: Unknown Disease
Bibliographic record
Abstract
The incidence of internal hernia is less than 1%. Transmesocolic hernia (TH) is a rare type of internal hernia and it poses a real diagnostic challenge clinically. TH in patient without a history of operation hernia is an extremely rare phenomenon and is frequently none diagnosed. We report a case of TH in an adult patient without any preoperative history of digestive surgery. A 44-year-old woman was admitted to hospital for non-specific abdominal distension. The diagnosis of TH was suggested by computed tomography (CT). Entero-MRI confirmed the diagnostic. The symptoms were managed with conservative measures. The patient had no further pain during his follow-up and gave no recurrence. In the adult population, the cause of TH is previous gastrointestinal operation, intraperitoneal inflammation or trauma. Clinically, internal hernias can be asymptomatic, or can cause chronic dyspepsia, vague epigastric pain, intermittent colicky periumbilical pain, nausea and vomiting. There is extreme difficulty in making diagnosis of internal hernia preoperatively and the most important diagnostic method is abdominal CT and entero-MRI. This article illustrates the various types of internal hernias and imaging findings of TH. Even in cases with no previous laparotomy, it is important to consider the possibility of TH. We believe that conservative measures of TH are recommended in selected cases. J Curr Surg. 2014;4(2):55-57 doi: http://dx.doi.org/10.14740/jcs227w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".