Skip to main content
SpringerLink
Log in

Strangulated transmesosigmoid hernia: CT diagnosis

  • Original article
  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

We present a rare case of strangulated closed loop small bowel obstruction secondary to a trans-mesosigmoid hernia to emphasize the diagnostic role of computed tomography in patients with no history of previous surgery. The characteristic computed tomographic features showed a cluster of dilated, fluid-filled, U- and C-shaped loops of small bowel entrapped the left posterior and lateral to the sigmoid colon through a defect in the mesosigmoid, which caused anterior and medial displacement of the sigmoid colon.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Y Janin AM Stone L Wise (1980) ArticleTitleMesenteric hernia. Surg Gynecol Obstet 150 747–754 Occurrence Handle6988996 Occurrence Handle1:STN:280:DyaL3c7mvFCjtQ%3D%3D

    PubMed  CAS  Google Scholar 

  2. MD Bircher AE Stuart (1981) ArticleTitleInternal herniation involving the sigmoid mesocolon. Dis Colon Rectum 24 404–406 Occurrence Handle7261828 Occurrence Handle10.1007/BF02603431 Occurrence Handle1:STN:280:DyaL3M3mtVWqtA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  3. JR Benson DA Killen (1964) ArticleTitleInternal hernias involving the sigmoid mesocolon. Ann Surg 159 382–384 Occurrence Handle14129383 Occurrence Handle10.1097/00000658-196403000-00008 Occurrence Handle1:STN:280:DyaF2c%2FoslWgug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  4. P Lyngdorf E Engdahl (1988) ArticleTitleSigmoid mesocolic hernia. Case report. Acta Chir Scand 154 609–610 Occurrence Handle3213372 Occurrence Handle1:STN:280:DyaL1M7gt1aqsA%3D%3D

    PubMed  CAS  Google Scholar 

  5. AW Yip KK Tong TK Choi (1990) ArticleTitleMesenteric hernias through defects of the mesosigmoid. Aust N Z J Surg 60 396–399 Occurrence Handle2334363 Occurrence Handle10.1111/j.1445-2197.1990.tb07391.x Occurrence Handle1:STN:280:DyaK3c3ktFSqsA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  6. GG Ghahremani (1984) ArticleTitleInternal abdominal hernia. Surg Clin North Am 64 393–406 Occurrence Handle6729672 Occurrence Handle1:STN:280:DyaL2c3isVCmtw%3D%3D

    PubMed  CAS  Google Scholar 

  7. T Sasaki K Sakai D Fukumori et al. (2002) ArticleTitleTransmesosigmoid hernia: report of a case. Surg Today 32 1096–1098 Occurrence Handle12541031 Occurrence Handle10.1007/s005950200222

    Article  PubMed  Google Scholar 

  8. EL Balthazar (1994) ArticleTitleCT of small-bowel obstruction. AJR 162 255–261 Occurrence Handle8310906 Occurrence Handle1:STN:280:DyaK2c7ksVCmuw%3D%3D

    PubMed  CAS  Google Scholar 

  9. H Herlinger DDT Maglinte (1989) Small bowel obstruction. H Herlinger DDT Maglinte (Eds) Clinical radiology of the small bowel. WB Saunders Philadelphia 479–509

    Google Scholar 

  10. AJ Megibow EJ Balthazar KJ Cho et al. (1991) ArticleTitleBowel obstruction: evaluation with CT. Radiology 180 313–318 Occurrence Handle2068291 Occurrence Handle1:STN:280:DyaK3M3pslSmug%3D%3D

    PubMed  CAS  Google Scholar 

  11. T Fukuya DR Hawes CC Lu et al. (1992) ArticleTitleCT diagnosis of small-bowel obstruction: efficacy in 60 patients. AJR 158 765–772 Occurrence Handle1546591 Occurrence Handle1:STN:280:DyaK387ovVynug%3D%3D

    PubMed  CAS  Google Scholar 

  12. DDT Maglinte EJ Balthazar FM Kelvin AJ Megibow (1997) ArticleTitleThe role of radiology in the diagnosis of small-bowel obstruction. AJR 168 1171–1180 Occurrence Handle9129407 Occurrence Handle1:STN:280:DyaK2s3nsFKgtQ%3D%3D

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, No 325, Sec. 2, Cheng-Gung Road, Nei-Hu 114,Taipei, Taiwan, Republic of China

    C.-Y. Yu, C.-H. Liu & C.-Y. Chen

  2. Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No 325, Sec. 2, Cheng-Gung Road, Nei-Hu 114,Taipei, Taiwan, Republic of China

    C.-C. Lin & R.-Y. Shyu

  3. Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No 325, Sec. 2, Cheng-Gung Road, Nei-Hu 114,Taipei, Taiwan, Republic of China

    J.-C. Yu

Authors
  1. C.-Y. Yu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C.-C. Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J.-C. Yu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C.-H. Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. R.-Y. Shyu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C.-Y. Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yu, CY., Lin, CC., Yu, JC. et al. Strangulated transmesosigmoid hernia: CT diagnosis. Abdom Imaging 29, 158–160 (2004). https://doi.org/10.1007/s00261-003-0095-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-003-0095-x

Keywords

Search

Navigation