Intersigmoid hernia: Report of a case.

Surgery Today
Yasuhiro Nihon-YanagiShinichi Okazumi

Abstract

A 28-year-old man with no previous history of abdominal surgery presented at a local hospital with abdominal pain. He was diagnosed to have an intestinal obstruction and was treated conservatively. However, the symptoms persisted, and he was thereafter referred to this hospital. Plain abdominal radiographs demonstrated small-bowel gas. A computed tomographic scan of the abdomen disclosed wall thickening of an edematous, fluid-filled ileum. An exploratory laparotomy was performed to determine the cause of the intestinal obstruction. The ileum had herniated into the intersigmoid fossa, 100 cm proximal to the ileocecal valve, and the patient was diagnosed to have an intersigmoid hernia. Since the incarcerated portion of the small bowel was viable, reduction of the hernia and closure of the defect in the sigmoid mesocolon were performed. The postoperative course was uneventful. A sigmoid mesocolon hernia is an uncommon condition. This report presents a case of intersigmoid hernia and a review of 60 cases of sigmoid mesocolon hernia reported in Japan.

References

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Citations

Nov 15, 2011·Surgery Today·Daisuke HashimotoHideo Baba
Oct 25, 2011·Journal of Minimal Access Surgery·John JimmyRoy V Patankar
May 31, 2014·Journal of Surgical Case Reports·Chunseok Yang, Daedong Kim
Sep 23, 2016·Surgical and Radiologic Anatomy : SRA·O R SoméP Chaffanjon
Dec 23, 2017·Surgical Case Reports·Kotaro HirashimaNobuhiro Fujita
Aug 31, 2019·BMJ Case Reports·Kanika SharmaMari Jeeva Sankar
Jan 15, 2021·Case Reports in Gastroenterology·Yuichi NakasekoKatsuhiko Yanaga

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