A Case of Intramesosigmoid Hernia Treated by Laparoscopic Surgery

Abstract

A 64-year-old woman was admitted to our hospital with abdominal pain and vomiting. She had no history of abdominal surgery or injury. Abdominal contrast CT scan revealed expansion of the small intestine, and stenosis of the pelvic intestinal tract. The patient underwent conservative therapy by an ileus tube to decompress the small intestine, but there was no obvious improvement. Intramesosigmoid hernia was suspected with angiography from an ileus tube and abdominal contrast CT, laparoscopic surgery was performed on the 9th day after admission. The postoperative course was uneventful and she was discharged from the hospital on the 10th post operative day. Intestinal hernia without history of abdominal surgery, particularly associated with intramesosigmoid hernia, is rare. Herein, we describe our experience with a case of intramesosigmoid hernia and present a discussion of intramesosigmoid hernia with a review of the literature.