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Small bowel obstruction secondary to intramesosigmoid hernia
  1. James Bunce,
  2. Khaleel Fareed and
  3. Gillian Tierney
  1. General Surgery, Royal Derby Hospital, Derby, UK
  1. Correspondence to Dr James Bunce, james.bunce{at}


Intramesosigmoid hernias are a rare cause of small bowel obstruction. Here, we present such a case with learning points derived from diagnostic dilemma, shared decision making in consent and the management of a rare cause of a common surgical emergency.

  • general surgery
  • gastrointestinal surgery
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  • Contributors This case report was written by JB, under the direct supervision of both GT and KF. JB is responsible for drafting the report, obtaining consent and is the corresponding author. GT is responsible for editing the report, obtaining the photographs and was the operating consultant surgeon. KF is the parent consultant of the patient reported, has reviewed and approved the report and supported JB in the conception and writing of the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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