Mesenteric hiatal hernias is formed by the bowel's looping through the mesenteric hiatal, which is a common type of children's internal hernia, and is rare in clinical and forensic medicine practice. However, it lacks characteristically clinical signs and symptoms, and progresses very quickly with high fatality rate, and it is easy to cause medical disputes, consequently clinical doctors and legal medical experts should pay enough atten-tion to it. Based on the forensic pathology analysis of one congenital mesenteric hiatal hernias death, this paper combed the relevant knowledge, so as to provide reference for forensic identification workers.%肠系膜裂孔疝系肠管穿过肠系膜上的裂孔形成，是小儿腹内疝的一种常见类型，其在临床以及法医学实践中甚为少见。但由于该病缺乏特征性的临床症状和体征，且病情进展迅速、病死率高而极易引发医疗纠纷，所以应引起临床医生和法医的足够重视。本文以一例先天性肠系膜裂孔疝致死的法医病理学分析为基础，梳理相关知识，以期为法医鉴定工作者提供借鉴。
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