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Transmesosigmoid hernia: report of a case
Takamitsu Sasaki1, Koutaro Sakai, Daisuke Fukumori
1First Department of Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.
Surgery Today
|January 24, 2003
Summary
Sigmoid mesocolon hernia, a rare internal hernia, caused small bowel strangulation in a 63-year-old man. Surgical intervention successfully resected the necrosed bowel and repaired the defect.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Internal hernias are rare, with sigmoid mesocolon hernias being an uncommon subtype.
- Ileus, characterized by abdominal pain and nausea, can be a symptom of internal hernias.
Observation:
- A 63-year-old male presented with left-sided abdominal pain and nausea, initially managed for ileus.
- Laparoscopy revealed hemorrhagic ascites and small bowel necrosis, prompting further investigation.
Findings:
- Intraoperative findings confirmed a transmesosigmoid hernia with a defect in the sigmoid mesocolon.
- Approximately 30 cm of small bowel had herniated through the defect, leading to strangulation and necrosis.
Implications:
- This case highlights the importance of considering uncommon internal hernias in the differential diagnosis of ileus.
- Prompt surgical intervention, including resection and repair, is crucial for managing strangulated sigmoid mesocolon hernias.