Laparoscopic treatment of small bowel strangulation caused by an intramesosigmoid hernia and review of literature

Junttila, Anna; Virtanen, Juha; Mrena, Johanna; Mattila, Anne

doi:10.1136/bcr-2019-233627

Cited by 1 publication

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Few paraduodenal hernias become symptomatic. However, mortality reaches 20% to 50%, mainly because of missed diagnoses [ 1 , 11 , 12 ]. In our case, the patient’s left paraduodenal hernia was symptomatic; it was noted on CT scan and confirmed on laparotomy.…”

Section: Discussionmentioning

confidence: 99%

Congenital Dual Internal Hernias Causing Small Bowel Obstruction in a Man with no Prior Surgical History: A Report of a Very Rare Case

et al. 2021

View full text Add to dashboard Cite

Patient: Male, 51-year-old Final Diagnosis: Congenial dual internal hernia with small bowel obstruction Symptoms: Abdominal pain • vomiting • constipation Medication: — Clinical Procedure: — Specialty: Surgery Objective: Rare disease Background: Internal hernias involve protrusion of the small bowel through a peritoneal or mesenteric space in the abdominal or pelvic cavity. Congenital internal small bowel hernias are rare and patients with them usually present with small bowel obstruction (SBO) at a young age, whereas in older patients, internal small bowel hernias usually are acquired secondary to previous surgery. The present report is of a rare case of SBO due to dual congenital internal small bowel hernias in a 51-year-old man with no history of abdominal surgery. Case Report: We report a case of dual congenital internal hernias of the small bowel in a patient who presented with symptoms and signs of SBO. He had no history of abdominal trauma, surgery, or comorbid conditions. His abdomen was mildly distended with minimal tenderness in the upper left quadrant but there was no guarding or rebound tenderness. Abdominal X-rays confirmed the SBO. A contrast-enhanced computed tomography scan of the patient’s abdomen revealed SBO with transition at 2 points, suggestive of a closed-loop obstruction. However, the exact cause of the SBO was confirmed at laparotomy, which revealed dual internal hernias (intramesosigmoid and paraduodenal). The hernias were managed individually and the patient had a successful outcome after surgery. Conclusions: Although the present report is of a rare presentation of internal small bowel hernia, the case underscores that patients with this condition may present with SBO. Successful surgical management requires knowledge of the intra-abdominal peritoneal spaces and management of the hernia sac.

show abstract

Section: Discussionmentioning

confidence: 99%