Two Cases of Intersigmoid Hernia

Hirotaka Maruyama, Natsuo Suzuki, Masashi Sasaki, Masanori Sekiya and Hisaki Mio

Nakatsugawa City Hospital

We report 2 cases of intersigmoid hernia. Patient 1, a 71-year-old man, referred for abdominal pain, had undergone surgery 16 years earlier for gastric cancer. Eight hours after admission, abdominal distension and tenderness became worse. We diagnosed strangulated ileus and performed emergency surgery. Laparotomy showed an intersigmoid hernia. The strangulated ileum was reversed and the hernia orifice closed with sutures. Patient 2, a 78-year-old man, referred for abdominal pain, was found to have a slightly distended abdomen and mild lower abdominal tenderness. Plain radiography of the abdomen showed a small intestinal gas image and fluid. An ileus tube was inserted and annular stenosis found in the ileum. We diagnosed an ileum tumor or tuberculosis. An intersigmoid hernia was found by surgery. The incarcerated ileum was reversed and the hernia orifice closed.

Key words
intersigmoid hernia, internal hernia, sigmoid mesocolon

Reprint requests
Hirotaka Maruyama Department of Surgery, Nakatsugawa City Hospital 1-1522 Komanba, Nakatsugawa, 508-8502 JAPAN

Accepted
July 24, 2002

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