Intersigmoid Internal Hernia: Laparoscopic Repair of a Rare Cause of Bowel Obstruction

Almahmeed, Ebrahim; Aljawder, Hasan Shawqi; Fadhul, Mohamed Khalid; Abualsel, Abdulmenem

doi:10.1155/2022/5174496

Cited by 1 publication

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Internal hernias account for less than 1% of cases of small bowel obstruction, with the underlying causes being primarily peritoneum or mesenteric defects 8 , 9 or prior history of surgical procedure 10 – 12 . Clinical symptoms of internal hernias are nonspecific and include intermittent abdominal pain, distension, nausea, and vomiting, and the patient might be presenting with partial or complete acute intestinal obstruction 6 , 13 – 16 .…”

Section: Discussionmentioning

confidence: 99%

Sigmoid mesocolon internal hernia: a case report

Lukman¹,

Sulthana²,

Andreas³

et al. 2023

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Introduction and importance: Primary internal hernias are rare in adults. Internal hernias present clinically as a sign of small intestinal obstruction. If left untreated, internal hernias might lead to high morbidity and mortality due to strangulation. Internal hernias are usually diagnosed intraoperatively. Here, we present an internal hernia diagnosed with an abdominal computed tomography (CT) scan. The importance of preoperative diagnosis for internal hernias leads to early surgery and keeps the patient from suffering intestinal strangulation. Case presentation: We report here the case of a 67-year-old male who presented with acute intestinal obstruction and underwent an abdominal CT scan. The patient was diagnosed with an internal hernia from the imaging of the abdominal CT scan and scheduled for an exploratory laparotomy. An internal hernia was found in the mesocolon of the sigmoid colon; one loop of jejunum was trapped in the hernia defect. After reduction, the hernial defect was closed; no resections were done, and the patient was discharged after 5 days without complication. Clinical discussion: Our finding represents a transmesosigmoid hernia, a rare variant of sigmoid mesocolon hernias. The clinical sign and the judgment of the surgeon for the diagnosis of an internal hernia became important factors related to the patient’s outcome. Conclusion: The proper adjunct imaging, correct diagnosis, and timing of surgery for internal hernias save the patient from morbidity or intestinal death.

show abstract