Congenital mesenteric hernia in neonates: Still a dilemma

Congenital transmesenteric hernia in neonates is a rare cause of intestinal obstruction with devastating outcomes and still remains a challenge to diagnose pre-operatively.Patients are often managed with emergency surgical exploration and may need SINNA bowel resection.We present 2 Western Tack Sets neonates with small bowel obstruction secondary to strangulated transmesenteric hernia through a congenital defect in the small bowel mesentery, which were managed successfully.We have also reviewed the literature about congenital transmesenteric hernia in neonates.