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.
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References
Fan HP, Yang AD, Chang YJ, Juan CW, Wu HP. Clinical spectrum of internal hernia: a surgical emergency. Surg Today 2008;38:899–904.
Puri V, Bertellotti RP, Garg N. Intramesosigmoid hernia: a rare type of congenital internal hernia. Hernia 2007;11:463–465.
Ghahremani GG. Abdominal and pelvic hernias. In: Gore RM, Levins MS, editors. Textbook of gastrointestinal radiology, 2nd ed. Philadelphia: Saunders; 1994. p. 1993–2009.
Benson JR, Killen DA. Internal hernias involving the sigmoid mesocolon. Ann Surg 1964;159:382–384.
Van der Mieren G, de Gheldere C, Vanclooster P. Transmesosigmoid hernia: report of a case and review of the literature. Acta Chir Belg 2005;105:653–655.
Amano J. [in Japanese]. Geka MOOK 1989;52:85.
Perez Rouiz L, Gabarell Oto A, Casals Garrigo R, Sola Marti R, Ziza F. Internal obstruction caused by internal transmesosigmoid hernia: a complication of laparoscopic surgery? Minerva Chir 1997;52:1109–1112.
Johonson BL, Lind JF, Ulich PJ. Transmesosigmoid hernia during pregnancy. South Med J 1992;85:650–652.
Haruki N, Kuwabara Y, Shinoda N, Mitani M, Sato A, Koyama H, et al. Case report of a transmesosigmoid hernia during puerperium (in Japanese with English abstract). Nihon Fukubu Kyukyu Igakukaizasshi (J Abd Emerg Med) 2001;21:1381–1384.
Mathieu D, Luciani A, GERMAD Group. Internal abdominal herniations. Am J Roentgenol 2004;183:397–404.
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Nihon-Yanagi, Y., Ooshiro, M., Osamura, A. et al. Intersigmoid hernia: Report of a case. Surg Today 40, 171–175 (2010). https://doi.org/10.1007/s00595-009-4010-0
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DOI: https://doi.org/10.1007/s00595-009-4010-0