Intramesosigmoid hernia complicated by strangulated small-bowel obstruction

BMJ Case Rep. 2016 Jul 15:2016:bcr2016216369. doi: 10.1136/bcr-2016-216369.

Abstract

An intramesosigmoid hernia is 1 of the 3 rare types of sigmoid-related hernias that could be complicated by intestinal obstruction. Our patient presented with a clinical picture of intestinal obstruction. CT scan showed features of strangulated small-bowel obstruction secondary to a sigmoid-related hernia. This was confirmed intraoperatively to be an intramesosigmoid hernia. We share the radiological findings with intraoperative surgical correlation and discuss the imaging features described in the literature.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Colon, Sigmoid / diagnostic imaging
  • Hernia / complications*
  • Hernia / diagnostic imaging
  • Herniorrhaphy
  • Humans
  • Intestinal Obstruction / complications*
  • Intestinal Obstruction / diagnostic imaging
  • Intestinal Obstruction / surgery
  • Intestine, Small / diagnostic imaging
  • Intestine, Small / surgery
  • Male
  • Tomography, X-Ray Computed