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

Year 2025, Volume: 11 Issue: 2, 298 - 303, 28.05.2025
https://doi.org/10.53394/akd.1287695

Abstract

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.

Supporting Institution

yok

Project Number

yok

Thanks

Olgumuz nadir görülen bir durum olmasından dolayı yaptığımız literatür derlemesinin bilimsel camiaya katkı sağlayacağını düşünüyoruz.

References

  • 1- Ghahremani GG. Abdominal and pelvic hernias. In: Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology, 2nd edn. Saunders, Philadelphia, 2000:1993-2009.
  • 2- Benson JR, Killen DA. Internal hernias involving the sigmoid mesocolon. Ann Surg 1964; 159: 382-4.
  • 3- Narjis Y, Jgounni R, El Mansouri MN, Rabbani K, Hiroual R, Belhadj K, Ousehal A, Finech B, El Idrissi Dafali A. Transmesocolic internal herniation: a rare case of small bowel obstruction, “the Marrakesh hernia”. Hernia 2010; 14: 427-9.
  • 4- Francis KC, Daley C, Williams BR, Bullock R, Singh U, Baker A. The “Omega sign”: a new radiological sign for a rare type of internal hernia involving the sigmoid mesocolon. BJR Case Rep 2020; 6: 20190127.
  • 5- Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol 2006; 186:703-17.
  • 6- Li B, Assaf A, Gong YG, Feng LZ, Zheng XY, Wu CN. Transmesosigmoid hernia: Case report and review of literature World J Gastroenterol 2014; 20(19): 5924-9.
  • 7- Papanikolaou G, Alexiou GA, Mitsis M, Markouizos G, Kappas AM. Congenital transmesosigmoid hernia: a rare case of pediatric small-bowel obstruction. Pediatr Emerg Care 2008; 24:471-3.
  • 8- Collins D, Kavanagh D, Myers E, Richards S, McDermott E. Incarcerated transmesosigmoid hernia presenting in a 60-year-old man: a case report. J Med Case Rep 2008; 2:161.
  • 9- Van der Mieren G, de Gheldere C, Vanclooster P. Transmesosigmoid hernia: report of a case and review of the literature. Acta Chir Belg 2005; 105:653-5.
  • 10- Yang MS, Yeh DM, Lin SS, Chang CC, Wu MM, Chao C, Tyan YS. Computed tomographic appearance of internal herniation through the sigmoid mesocolon. J Chin Med Assoc 2005; 68:195-7.
  • 11- Yu CY, Lin CC, Yu JC, Liu CH, Shyu RY, Chen CY. Strangulated transmesosigmoid hernia: CT diagnosis. Abdom Imaging 2004; 29:158-60.
  • 12- Sasaki T, Sakai K, Fukumori D, Sato M, Ohmori H, Yamamoto F. Transmesosigmoid hernia: report of a case. Surg Today 2002; 32:1096-8.
  • 13- Johnson BL, Lind JF, Ulich PJ. Transmesosigmoid hernia during pregnancy. South Med J 1992; 85:650-2.
  • 14- Yao YF, Zhang MF. Ultrasonic manifestations of congenital transmesosigmoid hernia: report of one case.Zhongguo Linchang Yixue Yingxiang Zazhi 2012; 23:149-50.
  • 15- Guo L. Diagnosis and treatment of congenital transmesosigmoid hernia. Yiyao Luntan Zazhi 2011; 32: 147-8.
  • 16- Yang WL, Zhang DW, Zhang HG. Diagnosis and treatment of adult congenital transmesentery hernia. Zhongguo Weichang Waike Zazhi 2010; 13:621-2.
  • 17- Bao SQ. Two cases of mesentery hernia causing strangulation obstruction. Qiqihaer Yixue Xuebao 2009; 30:1951-2.
  • 18- Zhou FZ, Zhou ZQ, Chen HL, Chen DH, Chen WM, Wu YP. Five cases of mesentery defect causing hernia in schizophrenia patients. Zhengjiang Chuangshang Waike 2007; 12:272-3.
  • 19- He M, Zhong QX, Yang ZX. Congenital large transmesosigmoid hernia, case report. Zhengjiang Chuangshang Waike 1999; 7:122.
  • 20- Luo ZK. Misdiagnosed as intestinal necrosis of transmesosigmoid hernia, case report. Anhui Yike Daxue Xuebao 1996; 31:202.
  • 21- Zhang JS, Luo RH, Gao XY. Congenital transmesosigmoid hernia causing small bowel strangulation, case report. Binzhou Yixueyuan Xuebao 1995; 5:46.
  • 22- Mo J. Case report of transmesosigmoid hernia causing small bowel necrosis. Guangxi Yixue 1991; 18:54.
  • 23- Li WR. Case report of transmesosigmoid hernia. Yixue Jibenshuiping Zazhi 1982; 6:2.
  • 24- Li HC. Case report of transmesosigmoid hernia. Yishui Yizhuan Xuebao 1985; 7:68.
  • 25- Kojima S, Sakamoto T, Honda M, Kim DH. Strangulated transmesosigmoid hernia as a late complication of a fall from a height: A case report. Int J Surg Case Rep. 2016; 27:137-40.
  • 26- Steele G Jr, Sawyer RB, Sawyer KC. Retroperitoneal and transmesosigmoid herniation of ileum. Report of a case. Rocky Mt Med J 1973; 70(6):30-2.
  • 27- Perez Rouiz L, Gabarrell Oto A, Casals Garrigo R, Sola Marti R, Ziza F.[Intestinal obstruction caused by internal transmesosigmoid hernia: acomplication of laparoscopic surgery?] Minerva Chir.1997; 52(9):1109-12.
  • 28- Bandawar MS, Nayak P, Shaikh IA, Sakthivel MS, Yadav TD. Strangulated small bowel obstruction secondary to a transmesosigmoid hernia, Indian J. Surg 2014; 76(2):148–9.
  • 29- Farah RH, Fahmi Y, Khaiz D, Elhattabi K, Bensardi F, Lefriyekh R, Berrada S, Fadil A, Ouariti NZ. Post-operative transmesosigmoid hernia causing small bowel obstruction: a case report. Pan Afr Med J 2015; 20:318.
  • 30- Kayano H, Nomura E, Kuramoto T, Yatabe K, Yoshii H, Yokoyama D, Machida T, Uda S, Koike T, Izumi H, Hasegawa S, Mukai M, Makuuchi H. Two Cases of Laparoscopic Diagnosis and Treatment of Intersigmoid Hernia. Tokai J Exp Clin Med 2017; 42(2):109-114.
  • 31- Karaman K, Yalkin O, Ercan M, Demir H, Altintoprak F, Zengin I. Retroanastomotic hernia after Moynihan's gastroenterostomy. World J Gastrointest Surg 2014; 6(9):187-9.

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

Year 2025, Volume: 11 Issue: 2, 298 - 303, 28.05.2025
https://doi.org/10.53394/akd.1287695

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.

Project Number

yok

References

  • 1- Ghahremani GG. Abdominal and pelvic hernias. In: Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology, 2nd edn. Saunders, Philadelphia, 2000:1993-2009.
  • 2- Benson JR, Killen DA. Internal hernias involving the sigmoid mesocolon. Ann Surg 1964; 159: 382-4.
  • 3- Narjis Y, Jgounni R, El Mansouri MN, Rabbani K, Hiroual R, Belhadj K, Ousehal A, Finech B, El Idrissi Dafali A. Transmesocolic internal herniation: a rare case of small bowel obstruction, “the Marrakesh hernia”. Hernia 2010; 14: 427-9.
  • 4- Francis KC, Daley C, Williams BR, Bullock R, Singh U, Baker A. The “Omega sign”: a new radiological sign for a rare type of internal hernia involving the sigmoid mesocolon. BJR Case Rep 2020; 6: 20190127.
  • 5- Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol 2006; 186:703-17.
  • 6- Li B, Assaf A, Gong YG, Feng LZ, Zheng XY, Wu CN. Transmesosigmoid hernia: Case report and review of literature World J Gastroenterol 2014; 20(19): 5924-9.
  • 7- Papanikolaou G, Alexiou GA, Mitsis M, Markouizos G, Kappas AM. Congenital transmesosigmoid hernia: a rare case of pediatric small-bowel obstruction. Pediatr Emerg Care 2008; 24:471-3.
  • 8- Collins D, Kavanagh D, Myers E, Richards S, McDermott E. Incarcerated transmesosigmoid hernia presenting in a 60-year-old man: a case report. J Med Case Rep 2008; 2:161.
  • 9- Van der Mieren G, de Gheldere C, Vanclooster P. Transmesosigmoid hernia: report of a case and review of the literature. Acta Chir Belg 2005; 105:653-5.
  • 10- Yang MS, Yeh DM, Lin SS, Chang CC, Wu MM, Chao C, Tyan YS. Computed tomographic appearance of internal herniation through the sigmoid mesocolon. J Chin Med Assoc 2005; 68:195-7.
  • 11- Yu CY, Lin CC, Yu JC, Liu CH, Shyu RY, Chen CY. Strangulated transmesosigmoid hernia: CT diagnosis. Abdom Imaging 2004; 29:158-60.
  • 12- Sasaki T, Sakai K, Fukumori D, Sato M, Ohmori H, Yamamoto F. Transmesosigmoid hernia: report of a case. Surg Today 2002; 32:1096-8.
  • 13- Johnson BL, Lind JF, Ulich PJ. Transmesosigmoid hernia during pregnancy. South Med J 1992; 85:650-2.
  • 14- Yao YF, Zhang MF. Ultrasonic manifestations of congenital transmesosigmoid hernia: report of one case.Zhongguo Linchang Yixue Yingxiang Zazhi 2012; 23:149-50.
  • 15- Guo L. Diagnosis and treatment of congenital transmesosigmoid hernia. Yiyao Luntan Zazhi 2011; 32: 147-8.
  • 16- Yang WL, Zhang DW, Zhang HG. Diagnosis and treatment of adult congenital transmesentery hernia. Zhongguo Weichang Waike Zazhi 2010; 13:621-2.
  • 17- Bao SQ. Two cases of mesentery hernia causing strangulation obstruction. Qiqihaer Yixue Xuebao 2009; 30:1951-2.
  • 18- Zhou FZ, Zhou ZQ, Chen HL, Chen DH, Chen WM, Wu YP. Five cases of mesentery defect causing hernia in schizophrenia patients. Zhengjiang Chuangshang Waike 2007; 12:272-3.
  • 19- He M, Zhong QX, Yang ZX. Congenital large transmesosigmoid hernia, case report. Zhengjiang Chuangshang Waike 1999; 7:122.
  • 20- Luo ZK. Misdiagnosed as intestinal necrosis of transmesosigmoid hernia, case report. Anhui Yike Daxue Xuebao 1996; 31:202.
  • 21- Zhang JS, Luo RH, Gao XY. Congenital transmesosigmoid hernia causing small bowel strangulation, case report. Binzhou Yixueyuan Xuebao 1995; 5:46.
  • 22- Mo J. Case report of transmesosigmoid hernia causing small bowel necrosis. Guangxi Yixue 1991; 18:54.
  • 23- Li WR. Case report of transmesosigmoid hernia. Yixue Jibenshuiping Zazhi 1982; 6:2.
  • 24- Li HC. Case report of transmesosigmoid hernia. Yishui Yizhuan Xuebao 1985; 7:68.
  • 25- Kojima S, Sakamoto T, Honda M, Kim DH. Strangulated transmesosigmoid hernia as a late complication of a fall from a height: A case report. Int J Surg Case Rep. 2016; 27:137-40.
  • 26- Steele G Jr, Sawyer RB, Sawyer KC. Retroperitoneal and transmesosigmoid herniation of ileum. Report of a case. Rocky Mt Med J 1973; 70(6):30-2.
  • 27- Perez Rouiz L, Gabarrell Oto A, Casals Garrigo R, Sola Marti R, Ziza F.[Intestinal obstruction caused by internal transmesosigmoid hernia: acomplication of laparoscopic surgery?] Minerva Chir.1997; 52(9):1109-12.
  • 28- Bandawar MS, Nayak P, Shaikh IA, Sakthivel MS, Yadav TD. Strangulated small bowel obstruction secondary to a transmesosigmoid hernia, Indian J. Surg 2014; 76(2):148–9.
  • 29- Farah RH, Fahmi Y, Khaiz D, Elhattabi K, Bensardi F, Lefriyekh R, Berrada S, Fadil A, Ouariti NZ. Post-operative transmesosigmoid hernia causing small bowel obstruction: a case report. Pan Afr Med J 2015; 20:318.
  • 30- Kayano H, Nomura E, Kuramoto T, Yatabe K, Yoshii H, Yokoyama D, Machida T, Uda S, Koike T, Izumi H, Hasegawa S, Mukai M, Makuuchi H. Two Cases of Laparoscopic Diagnosis and Treatment of Intersigmoid Hernia. Tokai J Exp Clin Med 2017; 42(2):109-114.
  • 31- Karaman K, Yalkin O, Ercan M, Demir H, Altintoprak F, Zengin I. Retroanastomotic hernia after Moynihan's gastroenterostomy. World J Gastrointest Surg 2014; 6(9):187-9.
There are 31 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Vural Argın 0000-0002-6526-1821

Ahmet Yazıcı 0000-0001-7022-1683

Project Number yok
Early Pub Date May 22, 2025
Publication Date May 28, 2025
Submission Date April 27, 2023
Published in Issue Year 2025 Volume: 11 Issue: 2

Cite

Vancouver Argın V, Yazıcı A. Transmesosigmoid Hernia Presenting with Small Bowel Obstruction: Case Report and Results of Literature Review. Akd Med J. 2025;11(2):298-303.