Intersigmoid Hernia—case Report

Thomson, F B; Robins, R. Edward

doi:10.1097/00000658-195312000-00018

Cited by 4 publications

(4 citation statements)

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“…Due to the rarity and lack of clear clinical or radiological features, intersigmoid hernias are often found, as in our case, during surgical exploration of the abdomen indicated for an acute small bowel obstruction [3][4][5][6][7][8][9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

“…Intersigmoid hernias are typically divided into three categories based on their characteristics: intersigmoid hernias, transmesosigmoid hernias, and intramesosigmoid. Intersigmoid hernias involve the incarceration of the bowel through the intersigmoid fossa [ 4 - 7 , 9 - 10 ]. Transmesosigmoid hernias occur when the intestine herniates through a defect in both the left and right leaves of the sigmoid mesentery.…”

Section: Discussionmentioning

confidence: 99%

“…As with other types of internal hernias, excessive length of the small intestine mesentery and increased mobility of the intestines may predispose individuals to develop intersigmoid hernias [ 6 ]. Finally, some literature asserts that the intersigmoid fossa becomes smaller over time, and therefore the risk of developing an intersigmoid hernia is inversely associated with age [ 7 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…While this opening is considered a defect in the mesentery, it is estimated to occur in 50%-75% of individuals based on autopsy reports [ 5 , 6 ]. The orifice typically presents on the left inferior aspect which is why it can most easily be located by turning the sigmoid colon superiorly and to the right [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Laparoscopic Repair of Small Bowel Obstruction Caused by an Intersigmoid Hernia: A Case Report

Nesiama¹,

Quigley²,

Nazim³

et al. 2023

Cureus

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Bowel obstructions can be caused by internal hernias which are protrusions of the bowel into openings within the abdominal cavity. There are various types of internal hernias including sigmoid hernias which involve the sigmoid mesentery. Sigmoid hernias are very difficult to diagnose clinically, even with the aid of radiologic imaging. Computed tomography (CT) scan findings often reveal small bowel obstructions; however, they are not sensitive to intersigmoid hernias. Most of these rare herniations are repaired by open abdominal surgery followed by the closure of the mesenteric defect to prevent a recurrence. We present the case of a 57-year-old man who presented to the emergency department with a small bowel obstruction that was caused by an intersigmoid hernia and was successfully repaired through a minimally invasive laparoscopic approach. This case demonstrates an intra-operative diagnosis of an intersigmoid hernia and reviews the benefits of a laparoscopic approach for the reduction of the sigmoid mesentery.

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