A Rare Presentation of Acute Abdomen due to Intersigmoid Hernia Successfully Treated by Laparoscopic Surgery

¹Department of Emergency and Critical Care Medicine, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences.

² Department of Gastrointestinal Surgery, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences

Corresponding Author: Atsunori Nakao, Department of Emergency and Critical Care Medicine, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama-shi, Okayama, 700-8558, Japan.

Tel: +81-78-241-3131; Email: [email protected]

Received Date: 07 Feb 2017  
Accepted Date: 21 Feb 2017  
Published Date: 27 Feb 2017

Copyright © 2017 Nakao A

Citation: Kishi Y, Yumoto T, Tsukahara K, Nakao A, et al. (2017). A Rare Presentation of Acute Abdomen due to Intersigmoid Hernia Successfully Treated by Laparoscopic Surgery. Mathews J Surgery 1(2): 005.

ABSTRACT 

A 56-year-old man with no previous medical history was transferred by ambulance to local hospital with acutely onset abdominal pain. Computed tomography demonstrated ileum loop in the left iliac fossa, suggesting intersigmoid herniation of ileum with intestinal strangulation. Emergency laparoscopic surgery was performed and incarcerated ileum was reduced from the hernia orifice. Since the strangulated intestibe was viable, no intestine was resected. His postoperative course was uneventful. Diagnosis of acute abdomen caused by intersigmoid hernia remains difficult preoperatively. The emergency physician should keep in mind the possibility of intersigmoid hernia in a patient with acute-onset abdominal pain even with no vomiting or bowel obstruction. Laparoscopic exploration may offer decisive information and thereby prevent delays in providing definitive treatment.