| Title | Incarcerated transmesosigmoid hernia presenting in a 60-year-old man: a case report. | | Author(s) | Collins D, Kavanagh D, Myers E, Richards S, McDermott E | | Source | J Med Case Reports 2008 May 17; 2(1):161. | | Abstract | ABSTRACT:
INTRODUCTION: Internal hernias are a rare cause of small bowel obstruction and are estimated to account for 1% to 5% of cases. Herniation through a defect in the sigmoid mesocolon constitutes 6% of all internal hernias.
CASE PRESENTATION: In this case report we describe a rare case of a fit and healthy 60-year-old man, with no previous history of abdominal surgery, who presented with signs and symptoms of small bowel obstruction as a result of an incarcerated transmesosigmoid hernia. The hernia was reduced and the incarcerated loop of small bowel was found to be viable. The patient made a good recovery and was discharged home on the fourth post-operative day.
CONCLUSION: Internal hernias can cause considerable morbidity and mortality, so prompt diagnosis is paramount. Transmesosigmoid hernias are most common in the paediatric population; however, our patient was 60 years old. This report highlights the importance of considering an internal hernia as a cause of small bowel obstruction in individuals of all age groups and especially in those without a previous history of abdominal surgery. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18485232 |
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