Transmesosigmoid Hernia Presenting with Small Bowel Obstruction: Case Report and Results of Literature Review

Abstract

Internal hernias account for 1% to 6% of small bowel obstructions. The most common types of internal hernias include paraduodenal, transomental, transmesenteric, retro-anastomotic, and foramen of Winslow hernias. Among these, transmesosigmoid hernia, as seen in the presented case, causes small bowel obstruction in approximately 6% of internal hernias. In transmesosigmoid hernias, there is a full-thickness defect on both peritoneal surfaces of the mesocolon, and strangulation is common. Diagnosis is typically made through physical examination and imaging modalities. In this case, a transmesosigmoid hernia that presented to the clinic with symptoms of ileus will be presented, and the relevant literature on the subject will be discussed.

Keywords

• transmesosigmoid hernia
• internal hernia
• small bowel obstruction

İnce Bağırsak Obstrüksiyonu ile Başvuran Transmesosigmoid Hernisi: Olgu Sunumu ve Literatür Derleme Sonuçları

Öz

Internal herniler, ince bağırsak tıkanıklıklarının %1 ila %6’sını oluşturur. En yaygın internal herni türleri arasında paraduodenal, transomental, transmezenterik, retro-anastomotik ve foramen Winslow hernileri bulunur. Transmezosigmoid herniler, internal herniler arasında yaklaşık %6 oranında ince bağırsak tıkanıklığına neden olurlar. Transmezosigmoid hernilerde, mezokolonun her iki periton yüzeyinde tam kat bir defekt bulunur ve strangülasyon yaygındır. Tanı genellikle fizik muayene ve görüntüleme yöntemleri ile konur. Bu olguda, ileus semptomları ile kliniğe başvuran bir transmezosigmoid herni vakası sunulacak ve konuyla ilgili literatür tartışılacaktır.

Anahtar Kelimeler

• transmesosigmoid herni
• internal herni
• incebağırsak obstrüksiyonu

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