Internal Hernias Involving the Sigmoid Mesocolon

Annals of Surgery (Impact Factor: 8.33). 04/1964; 159(3):382-4. DOI: 10.1097/00000658-196403000-00008
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    • "Congenital internal hernias of the sigmoid mesentery are divided into three categories: intersigmoid, intramesosigmoid and transmesosigmoid [5]. Transmesosigmoid hernias occur when a loop of small bowel passes through a defect in the sigmoid mesentery. "
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    ABSTRACT: Internal hernias are a rare cause of small bowel obstruction and are estimated to account for 1% to 5% of cases. Herniation through a defect in the sigmoid mesocolon constitutes 6% of all internal hernias. In this case report we describe a rare case of a fit and healthy 60-year-old man, with no previous history of abdominal surgery, who presented with signs and symptoms of small bowel obstruction as a result of an incarcerated transmesosigmoid hernia. The hernia was reduced and the incarcerated loop of small bowel was found to be viable. The patient made a good recovery and was discharged home on the fourth post-operative day. Internal hernias can cause considerable morbidity and mortality, so prompt diagnosis is paramount. Transmesosigmoid hernias are most common in the paediatric population; however, our patient was 60 years old. This report highlights the importance of considering an internal hernia as a cause of small bowel obstruction in individuals of all age groups and especially in those without a previous history of abdominal surgery.
    Journal of Medical Case Reports 02/2008; 2:161. DOI:10.1186/1752-1947-2-161
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    ABSTRACT: Internal hernias are an infrequent cause of small bowel obstruction with transmesosigmoid herniation being very rare, especially in patients with no history of abdominal surgery or trauma. Early surgical intervention is important in acute presentation to reduce the high morbidity and mortality rates associated with this disease.
    Indian Journal of Surgery 04/2014; 76(2). DOI:10.1007/s12262-012-0649-7 · 0.26 Impact Factor
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    ABSTRACT: A rare retrorectal hernia of the sigmoid colon associated with diverticulitis and a presacral abscess is reported. The anatomy of the retrorectal space is reviewed. The value of routine lateral fluoroscopy and overhead films is emphasized.
    Diseases of the Colon & Rectum 11/1976; 19(7):632-5. DOI:10.1007/BF02590983 · 3.75 Impact Factor
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