A Case Report of Intramesosigmoid Hernia

So Katayanagi, Masayuki Ohue, Tatsurou Yamaguchi, Keiichi Takahashi and Takeo Mori

Department of Surgery, Tokyo Metropolitan Komagome Hospital

A 59-year-old man was admitted to the hospital for lower abdominal pain. He had neither a past history of surgery nor injury of abdomen. An abdominal X-ray film showed niveau. No symptomatic remission could be achieved with a conservative treatment. Radiocontrast study showed an intestinal obstruction due to internal hernia. A laparotomy was performed on the 34th day after the onset of symptoms. Laparotomy revealed an intramesosigmoid hernia, containing 15 cm of non-ischemic small intestine. The small intestine was reduced easily and defect of sigmoid mesocolon was closed by suture. An intramesosigmoid hernia have come to only 17 including this case in Japan to the best of our knowledge. This suggests that patients with no history of abdominal trauma or surgery should be considered for this disease.

Key words
intramesosigmoid hernia, ileus, internal hernia

Reprint requests
So Katayanagi Department of Surgery, Tokyo Metropolitan Komagome Hospital 3-18-22 Honkomagome, Bunkyoku, Tokyo, 113-8677 JAPAN

Accepted
December 18, 2002

To read the PDF file you will need Abobe Reader installed on your computer.