Intramesosigmoid hernia: preoperative diagnostic MDCT findings

Abdominal Imaging - Tập 37 - Trang 561-565 - 2011
Yen-Hsiu Liao1, Chien-Heng Lin2, Wan-Jung Hsieh1, Yung-Jen Ho1, Wei-Ching Lin1,3
1Department of Radiology, China Medical University Hospital, Taichung, Taiwan
2Department of Pediatrics, Jen-Ai Hospital, Taichung, Taiwan
3School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan

Tóm tắt

Internal hernias, protrusion of abdominal viscera into an intraperitoneal fossa, are uncommon causes of bowel obstruction, and preoperative diagnoses are difficult. We report a rare case of a 47-year-old female with strangulated small bowel obstruction secondary to an intramesosigmoid hernia preoperative diagnosis by multi-detector row computed tomography. We highlight the preoperatively diagnosed value and findings of MDCT in intramesosigmoid hernia.

Tài liệu tham khảo

Takeyama N, Gokan T, Ohgiya Y, et al. (2005) CT of internal hernias. RadioGraphics 25:997–1015 Meyers MA (2000) Internal abdominal hernias. In: Meyers MA (ed) Dynamic radiology of the abdomen, 5th edn. New York: Springer, pp 711–748 Welch CE (1958) Hernia: intestinal obstruction. Chicago: Year Book Medical, pp 239–268 Takeshita T, Ninoi T, Shigeoka H, Hirayama Y, Miki Y (2010) Small bowel obstruction due to an intramesosigmoid hernia diagnosed by multidetector row computed tomography: a case report. Osaka City Med J 56:37–45 Martin LC, Merkle EM, Thompson WM (2006) Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol 186:703–717 Kaneko J, Imai N (1998) A case report of transmesosigmoid hernia. Jpn J Gastroenterol Surg 31:2280–2283 Furukawa A, Yamasaki M, Furuichi K, et al. (2001) Helical CT in the diagnosis of small bowel obstruction. RadioGraphics 21:341–355 Suri S, Gupta S, Sudhakar PJ, et al. (1999) Comparative evaluation of plain films, ultrasound and CT in the diagnosis of intestinal obstruction. Acta Radiol 40:422–428 Frager D, Medwid SW, Baer JW, Mollinelli B, Friedman M (1994) CT of small bowel obstruction: value in establishing the diagnosis and determining degree and cause. AJR Am J Roentgenol 162:37–41 Yu CY, Lin CC, Yu JC, et al. (2004) Strangulated transmesosigmoid hernia: CT diagnosis. Abdom Imaging 29:158–160 Sasaki T, Sakai K, Fukumori D, et al. (2002) Transmesosigmoid hernia: report of a case. Surg Today 32:1096–1098