Laparoscopic management of small bowel obstruction caused by a Sigmoid Mesocolic hernia

Jimmy, John; Wani, Sachin V.; Shetty, Vishwanath; Patankar, Roy

doi:10.4103/0972-9941.85647

Cited by 10 publications

(3 citation statements)

References 6 publications

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“…There are few reported cases of laparoscopic repair of internal transmesocolic hernia [ 13 ]. Laparoscopic repair would be expected to reduce postoperative pain, morbidity, and length of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Repair of Internal Transmesocolic Hernia of Transverse Colon

Kishiki

Mori

Hashimoto

et al. 2015

Case Reports in Surgery

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Introduction. Internal hernias are often misdiagnosed because of their rarity, with subsequent significant morbidity. Case Presentation. A 61-year-old Japanese man with no history of surgery was referred for intermittent abdominal pain. CT suggested the presence of a transmesocolic internal hernia. The patient underwent a surgical procedure and was diagnosed with transmesocolic internal hernia. We found internal herniation of the small intestine loop through a defect in the transverse mesocolon, without any strangulation of the small intestine. We were able to complete the operation laparoscopically. The patient's postoperative course was uneventful and the patient was discharged on postoperative day 6. Discussion. Transmesocolic hernia of the transverse colon is very rare. Transmesocolic hernia of the sigmoid colon accounts for 60% of all other mesocolic hernias. Paraduodenal hernias are difficult to distinguish from internal mesocolic transverse hernias. We can rule out paraduodenal hernias with CT. Conclusion. The patient underwent a surgical procedure and was diagnosed with transmesocolic internal hernia. We report a case of a transmesocolic hernia of the transverse colon with intestinal obstruction that was diagnosed preoperatively and for which laparoscopic surgery was performed.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Repair of Internal Transmesocolic Hernia of Transverse Colon

Kishiki

Mori

Hashimoto

et al. 2015

Case Reports in Surgery

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“…However, these findings are not pathognomonic and only suggest the diagnosis. In patients presenting with small intestinal obstruction, the absence of an obvious external hernia, history of tuberculosis or of previous surgery should alert the clinician for the possibility of an internal herniation as the cause [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…If an internal herniation is suspected, the surgery should be prompt, as strangulation and necrosis of the hernial contents is likely to ensue if the surgery is delayed. Traditionally, such a treatment is undertaken by open surgery in which the contents are reduced from the hernial defect, and resected if necrotic and the defect is closed [ 5 ]. However, if no evidence of strangulation or necrosis, a laparoscopic approach is a useful method.…”

Section: Discussionmentioning

confidence: 99%

Small bowel obstruction caused by sigmoid mesocolic hernia

Yang

Kim

2014

Journal of Surgical Case Reports

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Internal hernia is an unusual cause of small bowel obstruction and classified several types according to locations. Sigmoid mesocolic hernia is an uncommon condition and among others intramesosigmoid hernia was rarely reported in the literature. We report the case of a 49-year-old female with a rare type of congenital internal hernia, through the mesosigmoid, causing small bowel obstruction. She suffered from obstructive symptoms but with no previous history of laparotomy. The diagnosis of internal hernia was suggested by computed tomography, but the type of internal hernia was confirmed by laparoscopic exploration. She underwent laparoscopic detachment of peritoneal attachment comprising hernia sac without defect repair. The postoperative course was uneventful and the patient is free from symptoms and recurrence. This report presents a case of intrasigmoid hernia managed successfully by the laparoscopic approach and shows another surgical technique according to hernia types.

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