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A case report of intersigmoid hernia treated using laparoscopic surgery
Hiroyuki Kambe1, Koji Kitamura1, Satoshi Kaihara1
1Department of Surgery, Kobe City Medical Center General Hospital, Japan.
International Journal of Surgery Case Reports
|April 23, 2021
Summary
Intersigmoid hernia (ISH) is a rare condition often misdiagnosed. Early diagnosis and laparoscopic surgery for ISH can prevent the need for intestinal resection and ensure a good recovery.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Diagnostic Imaging
Background:
- Intersigmoid hernia (ISH) is a rare cause of intestinal obstruction.
- ISH presents diagnostic challenges, often leading to delayed surgical intervention.
- Preoperative diagnosis is crucial for optimal patient outcomes.
Observation:
- An 87-year-old male presented with symptoms of small bowel obstruction.
- Contrast-enhanced CT revealed features suggestive of ISH with incarceration.
- Laparoscopic surgery identified and repaired the intersigmoid fossa defect.
Findings:
- The patient was diagnosed with incarcerated intersigmoid hernia.
- Laparoscopic intervention successfully reduced the incarcerated small intestine.
- No intestinal resection was required due to timely surgical management.
Implications:
- Early diagnosis of ISH via CT imaging is feasible.
- Laparoscopic surgery for ISH can effectively manage the condition.
- Prompt surgical treatment avoids complications like intestinal necrosis and resection.
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