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Abdominal Imaging

, Volume 29, Issue 2, pp 158–160 | Cite as

Strangulated transmesosigmoid hernia: CT diagnosis

  • C.-Y. Yu
  • C.-C. Lin
  • J.-C. Yu
  • C.-H. Liu
  • R.-Y. Shyu
  • C.-Y. Chen
Original article

Abstract

We present a rare case of strangulated closed loop small bowel obstruction secondary to a trans-mesosigmoid hernia to emphasize the diagnostic role of computed tomography in patients with no history of previous surgery. The characteristic computed tomographic features showed a cluster of dilated, fluid-filled, U- and C-shaped loops of small bowel entrapped the left posterior and lateral to the sigmoid colon through a defect in the mesosigmoid, which caused anterior and medial displacement of the sigmoid colon.

Keywords

Internal hernia Transmesosigmoid hernia Small bowel obstruction Computed tomography 

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Copyright information

© Springer-Verlag New York, Inc. 2004

Authors and Affiliations

  • C.-Y. Yu
    • 1
  • C.-C. Lin
    • 2
  • J.-C. Yu
    • 3
  • C.-H. Liu
    • 1
  • R.-Y. Shyu
    • 2
  • C.-Y. Chen
    • 1
  1. 1.Department of RadiologyTri-Service General Hospital, National Defense Medical Center, No 325, Sec. 2, Cheng-Gung Road, Nei-Hu 114,Taipei, TaiwanRepublic of China
  2. 2.Department of Internal MedicineTri-Service General Hospital, National Defense Medical Center, No 325, Sec. 2, Cheng-Gung Road, Nei-Hu 114,Taipei, TaiwanRepublic of China
  3. 3.Department of SurgeryTri-Service General Hospital, National Defense Medical Center, No 325, Sec. 2, Cheng-Gung Road, Nei-Hu 114,Taipei, TaiwanRepublic of China

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