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A case of an intramesosigmoid hernia
Hayato Kan1, Hideyuki Suzuki, Hideaki Takasaki
1Nippon Medical School, Tokyo, Japan. hkan@nms.ac.jp
Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|March 24, 2009
Summary
This case report details an intramesosigmoid hernia causing small bowel obstruction in a 46-year-old male. Diagnosis was confirmed via enterography and laparotomy, with successful surgical resection and no recurrence.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Abdominal Surgery
Background:
- Intramesosigmoid hernia is an extremely rare cause of small bowel obstruction.
- Previous abdominal surgery can be a predisposing factor.
Observation:
- A 46-year-old male presented with symptoms of small bowel obstruction.
- Initial imaging suggested obstruction; enterography revealed strictures, and laparotomy identified an intramesosigmoid hernia.
Findings:
- A 4x3 cm defect in the right leaf of the mesosigmoid caused small bowel herniation.
- Surgical resection of the incarcerated bowel was performed due to scar tissue.
- Postoperative recovery was uneventful with no recurrence.
Implications:
- Enterography can be a valuable diagnostic tool for intramesosigmoid hernias.
- Laparoscopic surgery may be a suitable treatment option for this rare condition.
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