Early intervention in intersigmoid hernia may prevent bowel resection-A case report

Area of Science:

• Gastroenterology
• Surgical Case Reports
• Abdominal Imaging

Background:

• Intersigmoid hernia is a rare internal hernia causing bowel obstruction.
• Preoperative diagnosis is challenging, though computed tomography (CT) can reveal suggestive signs.

Purpose of the Study:

• To report a case of intersigmoid hernia presenting with symptoms of bowel obstruction.
• To highlight the importance of early diagnosis and surgical management for intersigmoid hernias.

Main Methods:

• A 63-year-old female presented with symptoms of small bowel obstruction.
• Conservative management failed; a CT scan was performed, suggesting internal hernia.
• Laparotomy revealed a strangulated intersigmoid hernia, followed by resection and anastomosis.

Main Results:

• The patient presented with acute abdominal pain, vomiting, and constipation.
• CT scan indicated internal hernia as the cause of obstruction.
• Surgical intervention successfully treated the strangulated intersigmoid hernia, with an uneventful recovery.

Conclusions:

• Intersigmoid hernias are a rare cause of internal hernias and intestinal obstruction.
• Suspicion in patients with acute obstruction, no prior surgery, and no external hernia is key.
• Urgent CT scanning and prompt surgery can minimize strangulation, bowel resection, and patient mortality.