Annals of Surgery (Impact Factor: 6.33). 04/1964; 159:382-4. DOI: 10.1097/00000658-196403000-00008
Source: PubMed
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    ABSTRACT: Transmesosigmoid hernia has previously been considered as a rare condition. The clinical symptoms can be nonspecific. Here, we report a case of acute intestinal obstruction because of transmesosigmoid hernia. In addition, after a comprehensive review of PubMed and China National Knowledge Infrastructure, we present a review of 22 cases of transmesosigmoid hernia. We summarize several valuable clinical features that help early recognition of transmesosigmoid hernia. As a result of easy strangulation, in patients without a history of surgery or abdominal inflammation who present with symptoms of progressive or persistent small bowel obstruction (SBO), surgeons should consider the possibility of transmesosigmoid hernia. In addition, based on our data, in patients with SBO because of transmesosigmoid hernia, the defect is usually 2-5 cm in diameter. Furthermore, because of the high risk of strangulation with transmesosigmoid hernia, it is mandatory to reassess the condition timely and periodically when patients receive conservative treatment.
    World journal of gastroenterology : WJG. 05/2014; 20(19):5924-9.
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    ABSTRACT: Internal hernia is an unusual cause of small bowel obstruction and classified several types according to locations. Sigmoid mesocolic hernia is an uncommon condition and among others intramesosigmoid hernia was rarely reported in the literature. We report the case of a 49-year-old female with a rare type of congenital internal hernia, through the mesosigmoid, causing small bowel obstruction. She suffered from obstructive symptoms but with no previous history of laparotomy. The diagnosis of internal hernia was suggested by computed tomography, but the type of internal hernia was confirmed by laparoscopic exploration. She underwent laparoscopic detachment of peritoneal attachment comprising hernia sac without defect repair. The postoperative course was uneventful and the patient is free from symptoms and recurrence. This report presents a case of intrasigmoid hernia managed successfully by the laparoscopic approach and shows another surgical technique according to hernia types.
    Journal of surgical case reports. 05/2014; 2014(5).
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    ABSTRACT: We report a rare case of a sixty-year-old male who presented with an irreducible right inguinal hernia of 6-h duration, associated with vomiting and abdominal pain. Later in the course the hernia spontaneously reduced. After resuscitation and appropriate work-up, the patient was taken to operating room for a diagnostic laparoscopy. Consequent to finding hemorrhagic ascites and a loop of infracted bowel, a lower midline laparotomy was performed, which revealed a loop of intestine herniating through a tight defect in sigmoid mesocolon. Resection of the affected bowel with primary anastomosis was performed. Patient made an uneventful recovery and was discharged home on the 8th post-operative day. Patient was followed up at 2 and 4 weeks intervals in the surgical clinic and remained symptom-free.
    Journal of Taibah University Medical Sciences. 01/2013;


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