An unusual case of transverse mesocolic internal hernia with abnormality of both hands and high arched feet  Ashish Moudgil, Paras K. Pandove, Amarbir.

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An unusual case of transverse mesocolic internal hernia with abnormality of both hands and high arched feet  Ashish Moudgil, Paras K. Pandove, Amarbir Singh, Megha Pandove, Divya Sharda, Vijay K. Sharda  International Journal of Surgery Case Reports  Volume 6, Pages 226-229 (January 2015) DOI: 10.1016/j.ijscr.2014.10.040 Copyright © 2014 The Authors Terms and Conditions

Fig. 1 Initial photograph just after opening the abdomen showing distended caecum with ascending colon and terminal ileum. International Journal of Surgery Case Reports 2015 6, 226-229DOI: (10.1016/j.ijscr.2014.10.040) Copyright © 2014 The Authors Terms and Conditions

Fig. 2 Showing divided band (marked by arrows). International Journal of Surgery Case Reports 2015 6, 226-229DOI: (10.1016/j.ijscr.2014.10.040) Copyright © 2014 The Authors Terms and Conditions

Fig. 3 After division of band showing the constriction ring. AC – Ascending Colon;TC – Transverse Colon. International Journal of Surgery Case Reports 2015 6, 226-229DOI: (10.1016/j.ijscr.2014.10.040) Copyright © 2014 The Authors Terms and Conditions

Fig. 4 Showing about 10cm defect in the transverse mesocolon shown by arrow. TC – Transverse Colon. International Journal of Surgery Case Reports 2015 6, 226-229DOI: (10.1016/j.ijscr.2014.10.040) Copyright © 2014 The Authors Terms and Conditions

Fig. 5 (a) Showing hypoplastic thenar eminences and hypoplastic thumb of both hands. (b) X-ray bilateral hands revealing only distal most part of 1st left metacarpal and 1st right metacarpal relatively longer than normal with paucity of soft tissues of bilateral thenar compartments. (c) Showing bilateral high arched feet. International Journal of Surgery Case Reports 2015 6, 226-229DOI: (10.1016/j.ijscr.2014.10.040) Copyright © 2014 The Authors Terms and Conditions