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A case of intramesosigmoid hernia treated with laparoscopy Takaaki FUJIMOTO 1 , Naoki YAMANAKA 1 , Nobuhito CHIKAZAWA 1 , Nobuhiko SASAKI 1 1Department of Surgery, Japan Red Cross Yamaguchi Hospital Keyword: S状結腸間膜内ヘルニア , 腹腔鏡下手術 , 腸閉塞 pp.179-183
Published Date 2014/3/15
DOI https://doi.org/10.11477/mf.4426101072
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Intramesosigmoid hernia is uncommon and very difficult to be diagnosed preoperatively. A 48-year-old man, who had no past medical history of laparotomy, was admitted to our hospital due to severe abdominal pain. On admission, X-ray showed no fluid levels and contrast-enhanced CT scan suggested enteritis. On the following day, contrast-enhanced CT scan showed small intestinal obstruction without bowel ischemia and a long tube was placed to decompress the bowel. Enterography via long tube with gastrographin showed complete obstruction of the small intestine in the pelvis. Colonoscopy showed no abnormal findings. These findings suggested intramesosigmoid hernia. After 5 days of admission, laparoscopic surgery was performed. Oval defect 3cm in diameter was observed in the sigmoid mesocolon and a segment of small intestine, approximately 10cm in length, was entrapped in the defect. The defect was repaired without resection of the involved intestine. The patient was discharged on the 6th postoperative day without complications. When the diagnosis of internal hernia is suspected, laparoscopic surgery is recommended.


Copyright © 2014, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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