Intersigmoid hernia

Case contributed by Dr Bruno Di Muzio

Presentation

Abdominal pain in lower abdomen for 1 day.

Patient Data

Age: 79
Gender: Male

CT Abdomen and pelvis

Modality: CT

There distension of the small intestine. Loop segment being identified with signs of suffering in the pelvic region. Following the end of this loop segment can be identified that they converge to a common region in the left pelvis.

Modality: Annotated image

Following the end of this loop segment can be identified that they converge to a common region in the left pelvis.

Case Discussion

Intersigmoid hernia, which is the most common type of sigmoid mesocolon hernias, it`s a internal abdominal hernia that occurs in fossa intersigmoid, located on the lateral aspect of the connection sigmoid mesocolon1.The intersigmoid fossa is a peritoneal pocket formed between two adjacent sigmoid segments and their mesentery2

Intersigmoid hernias (including all three types of sigmoid mesocolon hernias) represent about 4 to 8% of internal hernias2

The case was confirmed at surgery.

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Case Information

rID: 20678
Case created: 6th Dec 2012
Last edited: 30th Sep 2015
Inclusion in quiz mode: Included

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