Trauma of the Colon and Rectum

Hoyt, David B.; Lekawa, Michael

doi:10.1007/978-1-4419-1584-9_26

Cited by 2 publications

(2 citation statements)

References 67 publications

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“…Sigmoid mesocolon internal hernias are further divided into intersigmoid, transmesosigmoid, and intramesosigmoid hernias which account for about 6% of internal hernias, and with intersigmoid hernia representing the majority of cases [3]. Intersigmoid hernia (Figure 6) occurs when herniated viscus protrudes through the intersigmoid fossa [4], which is a V-shaped peritoneal recess located at the level of the iliac crest, at the lateral aspect of sigmoid mesocolon with the left ureter lying underneath it [5,6]. This fossa is congenital and is formed when there is a delay or incomplete fusion of the left periotoneal surface of the sigmoid mesentery with the parietal peritoneum of the posterior abdominal wall which normally occurs at 5 months of gestation [3,5].…”

Section: Discussionmentioning

confidence: 99%

Intersigmoid Internal Hernia: Laparoscopic Repair of a Rare Cause of Bowel Obstruction

Almahmeed

Aljawder

Fadhul

et al. 2022

Case Reports in Surgery

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Intersigmoid hernia is a hernia of an abdominal viscus into the intersigmoid fossa, and it is one of the rare forms of internal hernia that can present with bowel obstruction. Intersigmoid hernia poses challenges in its diagnosis and treatment due to its rarity and vague signs and symptoms. As such, a high index of suspicion should be maintained, and early diagnostic examination should be done that includes an abdominal CT that may show signs suggestive of internal hernia. Managing this condition relies mainly on surgical intervention (open or laparoscopic) in a timely manner to prevent further complications, such as bowel ischemia. We present a case of intersigmoid hernia in a 51-year-old Bahraini male who presented with vague abdominal pain and vomiting.

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Section: Discussionmentioning

confidence: 99%

Intersigmoid Internal Hernia: Laparoscopic Repair of a Rare Cause of Bowel Obstruction

Almahmeed

Aljawder

Fadhul

et al. 2022

Case Reports in Surgery

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“…Whether an end or loop colostomy is performed depends on the extent of the injury, associated injuries, body habitus, and operative approach. Creation of a loop colostomy as opposed to an end colostomy has been shown to provide appropriate fecal diversion and avoids the added risk of complicated takedown procedures [52,53]. As with the loop ileostomy, a loop colostomy can frequently be reversed via a local procedure without the need for repeat laparotomy.…”

Section: Management Of Extraperitoneal Rectummentioning

confidence: 99%