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Case report
Laparoscopic treatment of small bowel strangulation caused by an intramesosigmoid hernia and review of literature
  1. Anna Junttila,
  2. Juha Virtanen,
  3. Johanna Mrena and
  4. Anne K Mattila
  1. Department of Surgery, Central Finland Central Hospital, Jyväskylä, Finland
  1. Correspondence to Dr Anna Junttila; anna.junttila{at}fimnet.fi

Abstract

An internal hernia is defined as a protrusion of an abdominal viscera through the defects of the gastrointestinal mesentery or peritoneum-lined fossa. Sigmoid mesocolic hernias are an uncommon type of internal hernias, accounting for only 6% of all internal hernias. Furthermore, intramesosigmoid hernia is one of the three subtypes of the sigmoid mesocolic hernias. Internal hernias are potentially fatal conditions with diagnostic challenges. Patients presenting with acute obstruction, no surgical history and no external hernia should receive an urgent CT scan to facilitate early surgery and to minimise the risk of strangulation and bowel resection. Here, we report a case of strangulated small bowel obstruction secondary to an intramesosigmoid hernia with a successful laparoscopic repair. We also present a literature review of all reported cases so far and give an up-to-date perspective on intramesosigmoid hernia.

  • gastrointestinal surgery
  • general surgery

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Footnotes

  • Contributors AJ, JV, JM and AKM: involved in drafting the manuscript. JM and JV: operating surgeons.

  • 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.

  • Patient consent for publication Obtained.

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

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