Diagnosis and assessment of sigmoidoceles

American Journal of Obstetrics and Gynecology
D E Fenner

Abstract

This study analyzed the clinical presentation, incidence, characteristics as demonstrated by defecating proctography, and surgical outcomes of sigmoidoceles. Defecating proctograms were obtained on all women with clinical evidence of pelvic floor defects between June 1, 1991, and June 30, 1995. The proctograms were retrospectively reviewed for the presence of a sigmoidocele and concomitant pelvic hernias. The distance between the maximum point of sigmoid descent with strain and the perineal body was measured. A chart review was performed to obtain clinical history, physical examination results, surgical treatment, and outcome. Nine sigmoidoceles (4.0%) were noted in 234 defecating proctograms. The leading edge of the sigmoid hernia ranged from 3.8 cm beyond the perineal body to 8 cm above the perineal body. All nine patients were found to have concomitant rectoceles by proctography, whereas only three were found to have enteroceles. Physical examination before proctography suggested that six patients had vaginal vault prolapse with enterocele, one patient had uterine prolapse with an enterocele, and two patients had rectoceles alone. Five of the seven patients clinically diagnosed with an enterocele showed no small bowel hernia...Continue Reading

References

Dec 1, 1972·Clinical Obstetrics and Gynecology·W F Baden, T A Walker
Nov 1, 1994·Diseases of the Colon and Rectum·J M JorgeS D Wexner

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Citations

Dec 25, 2010·Radiology·Dean D T MaglinteJohn C Lappas
May 1, 2008·Clinics in Colon and Rectal Surgery·Roger Lefevre, G Willy Davila
Jul 13, 2005·Current Treatment Options in Gastroenterology·Orit Kaidar-PersonSteven D Wexner
Oct 12, 2013·Abdominal Imaging·Ana Catarina A Silva, Dean D T Maglinte
Oct 22, 2013·International Urogynecology Journal·Mickey Karram, Christopher Maher
Sep 9, 2015·American Journal of Obstetrics and Gynecology·Douglass S Hale, Dee Fenner
Nov 3, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H P Dietz, M Beer-Gabel
Oct 1, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C MorandiA Carriero
Mar 28, 2003·Radiologic Clinics of North America·Harpreet K Pannu
Mar 12, 2010·International Journal of Surgery·Walid Galal ElshazlyHeba Hassan
Jul 10, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·M A Kahn, S L Stanton
Nov 5, 1999·British Journal of Obstetrics and Gynaecology·S RadleyC H Mann
May 17, 2000·Diseases of the Colon and Rectum·S D Wexner
Jan 28, 1999·Obstetrics and Gynecology Clinics of North America·A C Weidner, V H Low

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