Small bowel obstruction caused by sigmoid mesocolic hernia

Yang, Chun‐Seok; Kim, Dae‐Dong

doi:10.1093/jscr/rju036

Cited by 10 publications

(10 citation statements)

References 9 publications

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“…There is a degree of overlap as mechanical obstruction can progress to paralytic obstruction (ileus) as it becomes more severe. Small bowel obstruction may be simple obstruction that can wait for 24hrs or strangulating obstruction (closed-loop) where there is interruption of the blood supply of the bowel requiring an immediate operation [2,[6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Perspectives on Mechanical Small Bowel Obstruction in Adults

Weledji¹

2017

ARGH

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Small bowel obstruction is a serious and costly medical condition indicating often emergency surgery. Delay in operative intervention may lead to an unnecessary bowel resection, an increased risk of perforation and an overall worsening of patient morbidity and mortality. A thorough history and examination would distinguish simple from strangulation obstruction and facilitate appropriate management. The article reviewed small bowel obstruction and emphasized the importance of history taking and examination in the early diagnosis of its cause, thus, facilitating appropriate management.

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Section: Introductionmentioning

confidence: 99%

Perspectives on Mechanical Small Bowel Obstruction in Adults

Weledji¹

2017

ARGH

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“…However, closure of the defect to prevent a recurrence is recommended [ 14 ]. In contrast, in 2014, Yang et al stated that an intramesosigmoid defect does not require closure, and instead it can be widened by dissecting the lateral peritoneal attachment of the sigmoid colon [ 21 ]. In the present case, the intramesosigmoid defect was closed with interrupted absorbable sutures.…”

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

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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.

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“…The level of bowel obstruction is often at the level of the mid to distal ileum in the left iliac fossa 5 8 10. A normal sigmoid colon should not have small bowel loops posterior and lateral to it (figure 4), hence if this is observed, a suspicion is raised.…”

Section: Discussionmentioning

confidence: 99%

Intramesosigmoid hernia complicated by strangulated small-bowel obstruction

Kheok¹,

Mohideen

Lim

et al. 2016

BMJ Case Reports

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An intramesosigmoid hernia is 1 of the 3 rare types of sigmoid-related hernias that could be complicated by intestinal obstruction. Our patient presented with a clinical picture of intestinal obstruction. CT scan showed features of strangulated small-bowel obstruction secondary to a sigmoid-related hernia. This was confirmed intraoperatively to be an intramesosigmoid hernia. We share the radiological findings with intraoperative surgical correlation and discuss the imaging features described in the literature.

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Small bowel obstruction caused by sigmoid mesocolic hernia

Cited by 10 publications

References 9 publications

Perspectives on Mechanical Small Bowel Obstruction in Adults

Perspectives on Mechanical Small Bowel Obstruction in Adults

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

Intramesosigmoid hernia complicated by strangulated small-bowel obstruction

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