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Transmesosigmoid hernia during pregnancy.

B L Johnson1, J F Lind, P J Ulich

  • 1Department of Surgery, Eastern Virginia Graduate School of Medicine, Norfolk 23507.

Southern Medical Journal
|June 1, 1992
PubMed
Summary
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Internal herniation of the small bowel through the sigmoid mesocolon is rare in pregnancy. This case highlights the importance of considering internal hernia in pregnant patients with bowel obstruction symptoms, even without prior abdominal surgery.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports
  • Abdominal Imaging

Background:

  • Internal herniation, particularly through the sigmoid mesocolon, is an uncommon cause of bowel obstruction.
  • Pregnancy presents unique physiological changes that can alter abdominal anatomy and potentially predispose to or mask such conditions.

Observation:

  • A pregnant patient presented with symptoms indicative of small bowel obstruction.
  • Imaging and clinical evaluation revealed internal herniation of the small bowel via a defect in the sigmoid mesocolon.

Findings:

  • The case demonstrates a rare instance of internal herniation of the small bowel through the sigmoid mesocolon during pregnancy.
  • Prompt diagnosis and surgical intervention are crucial for favorable outcomes in such cases.

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Implications:

  • This case underscores the necessity of including internal hernia in the differential diagnosis for pregnant patients experiencing bowel obstruction symptoms.
  • Awareness among clinicians can lead to earlier diagnosis and management, potentially preventing complications associated with delayed treatment of internal hernias.