Intraoperative Surprise in a Case of Small Bowel Obstruction: Sigmoid Mesocolic Hernia - Intersigmoid Hernia: Case Report

Harikumar KV, Ravindran Chirukandath, Sharath K Krishnan, Shyamlal and Bhagya

Department of General Surgery, Government Medical College, India

^*Correspondance to: Ravindran Chirukandath 

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Abstract:

Introduction: The intersigmoid hernia is part of a rare group of three internal hernias known as sigmoid mesocolon hernias. Clinically they present with small bowel obstruction and are rarely diagnosed preoperatively. However, absence of previous surgery with no external hernia should raise suspicions of the diagnosis. Clinical Presentation: We are presenting a case of a 70 year-old female presented to emergency department with abdominal pain, vomiting and absolute constipation and features of strangulating abdomen. She was explored and revealed a strangulated sigmoid mesocolon hernia. Patient underwent resection anastomosis and has good post-op recovery. Discussion: Sigmoid mesoscopic hernias are rare group of hernias and they contribute to less than 4% of the internal hernias and a rare cause for intestinal obstruction. Early diagnosis by CT may be ideal before intervention either laparoscopically or open method. Conclusion: These cases reported rarely and early diagnosis and awareness of this entity plays a big role in the outcome.

Keywords:

Mesocolic hernia; Intersigmoid hernia; Intestinal obstruction

Cite the Article:

Harikumar KV, Chirukandath R, Krishnan SK, Shyamlal, Bhagya. Intraoperative Surprise in a Case of Small Bowel Obstruction: Sigmoid Mesocolic Hernia - Intersigmoid Hernia: Case Report. Ann Clin Case Rep. 2021; 6: 1907..