Primary defect of ileal mesentery presenting as internal herniation and strangulation of the small bowel: Case Report Authors Marya Saleem Department of Surgery, Mayo Hospital, Lahore, Pakistan Haris Janjua Department of Surgery, Mayo Hospital, Lahore, Pakistan Muhammad Zeeshan Sarwar Department of Surgery, Mayo Hospital, Lahore, Pakistan Syed Asghar Naqi Department of Surgery, Mayo Hospital, Lahore, Pakistan DOI: https://doi.org/10.47391/JPMA.3456 Abstract Primary internal hernia is a rare entity of acute intestinal obstruction. Delay in diagnosis and surgical intervention can cause ischaemia or gangrene of the small bowel and result in high morbidity and mortality. A 14-year-old boy presented to the emergency department with acute intestinal obstruction. On exploration, 3-4cm mesenteric defect was noted in the ileal region. Strangulated loops of the small bowel had gone through the mesenteric defect in a complicated way. Primary anastomosis was done after resection of the gangrenous small bowel. Key words: Primary internal hernia, Acute intestinal obstruction. Downloads Full Text Article Published 2022-11-15 How to Cite Marya Saleem, Haris Janjua, Muhammad Zeeshan Sarwar, & Syed Asghar Naqi. (2022). Primary defect of ileal mesentery presenting as internal herniation and strangulation of the small bowel: Case Report. Journal of the Pakistan Medical Association, 72(12), 2535–2537. https://doi.org/10.47391/JPMA.3456 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 72 No. 12 (2022): DECEMBER Section Case Report