Intramesosigmoid hernia complicated by strangulated small-bowel obstruction

Kheok, Si Wei; Mohideen, Salahudeen Mohd Haja; Lim, Jason Wei-Min; Raj, Seela Raj Santhosh

doi:10.1136/bcr-2016-216369

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…e length of the incarcerated small intestine was reported in 70 patients as 3 cm (min) and 150 cm (max): mean 25.25 cm, SD 35.04 cm. In 2 cases, the treatment was not described [9,10]. In the other 122 patients, for 86 patients, only the reduction of the incarceration was performed (70.5%), and for the remaining 36 cases, additionally, the resection of the strangulated loop due to necrosis was necessary (29.5%) (SDC 4).…”

Section: Resultsmentioning

confidence: 99%

Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects

Chiarini

Ruscelli

Cirocchi

et al. 2020

Emergency Medicine International

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Introduction. Intersigmoid hernia is a hernia of the small bowel into the intersigmoid fossa. It is well known to be a rare condition. Recent reports reveal that the preoperative differentiation of intersigmoid hernias is difficult and the diagnosis is often confirmed during the laparotomic exploration. Due to the vague clinical manifestation in most cases, the surgical treatment is frequently delayed. Materials and Methods. In this study, we systematically reviewed the literature up to 2019 covering 114 studies and 124 patients with an intersigmoid hernia. The purpose of this work is to improve the understanding of the anatomical aspects, clinical presentation, diagnosis, and treatment of intersigmoid hernia so as to assist the preoperative differentiation of these hernias when presented as acute abdomen in the emergency department. Results. The diameter of the intersigmoid recess was reported with mean 2.65 cm (range 1–10 cm, SD 1.15 cm) and the length of the incarcerated small intestine was between 3 cm (min) and 150 cm (max): mean 25.25 cm, SD 35.04 cm. The diameter of the sigmoid recess was greater in patients who underwent resection due to strangulation (mean 3.31 cm, SD 1.53 cm) compared to those who underwent only reduction of the hernia (mean 2.35 cm, SD 0.74 cm). The time from onset to operation was less in patients undergoing resection surgery due to throttling (mean 3.03 days, SD 3.01 days) compared to those who underwent only a reduction of hernia incarceration (mean 8.49 days, SD 6.83 days). Conclusion. Intersigmoid hernia is often a forgotten diagnosis and a clinical challange due to its anatomical characteristics.

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Section: Resultsmentioning

confidence: 99%

Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects

Chiarini

Ruscelli

Cirocchi

et al. 2020

Emergency Medicine International

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“…As in other reported cases, we have found a defect involving only one leaf and have been able to demonstrate a hernia sac (figure 1). 4 7 10…”

Section: Discussionmentioning

confidence: 99%

Small bowel obstruction secondary to intramesosigmoid hernia

Bunce¹,

Fareed

Tierney

2019

BMJ Case Rep

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“…The main tenets of surgical treatment for sigmoid hernias are (1) Prompt reduction of herniated bowel, (2) Resection of non‐viable bowel, (3) Restoration of gastro‐intestinal continuity and (4) Repair of defect in the sigmoid mesocolon. Exploratory laparotomy should be performed in cases where there is suspicion or evidence of bowel ischemia and necrosis as it would facilitate bowel resection and anastomosis 3 . However, in cases where bowel resection is not necessary, a laparoscopic approach can be undertaken successfully to accurately diagnose the pathology, reduce the herniated bowel, and repair the defect in the sigmoid mesocolon 4…”

Section: Figmentioning

confidence: 99%

“…Exploratory laparotomy should be performed in cases where there is suspicion or evidence of bowel ischemia and necrosis as it would facilitate bowel resection and anastomosis. 3 However, in cases where bowel resection is not necessary, a laparoscopic approach can be undertaken successfully to accurately diagnose the pathology, reduce the herniated bowel, and repair the defect in the sigmoid mesocolon. 4 All authors have reviewed and are in agreement with the submitted manuscript.…”

mentioning

confidence: 99%