A Case of Intersigmoid Hernia With Characteristic Computed Tomography Findings

Okada, Akiho; Yokota, Kenichi; Itakura, Yuuko; Ohtomo, Hiroshi; Yokoyama, Sigekuni; Endoh, Wataru

doi:10.3919/jjsa.71.1624

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2024

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Cited by 3 publications

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“…CT has an especially important role for diagnosis of acute abdominal symptoms, but there is difficulty with diagnosis of IH. Okada reported a preoperative diagnostic rate of IH related to the sigmoid mesentery of 15.9% [ 7 ]. Abdominal CT findings characteristic of ISH include formation of an edematous small bowel mass associated with wall thickness in the anterior side of the psoas major muscle; anteroinferior displacement of the sigmoid colon; convergence toward the medial side of the mesentery and mesenteric blood vessels; and caliber changes in the proximal and distal small intestine [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

A case report of intersigmoid hernia treated using laparoscopic surgery

KAMBE

Kitamura

Kaihara

2021

International Journal of Surgery Case Reports

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Highlights Intersigmoid hernia (ISH) is difficult to diagnose preoperatively. An 87-year-old male was diagnosed with ISH based on CT findings. Invagination of the intestine in the sigmoid mesentery was found by laparoscopy. There is no case report indicating improvement of ISH by conservative therapy. Early surgery for ISH may reduce the need for intestinal resection.

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Section: Discussionmentioning

confidence: 99%