Strangulated transmesosigmoid hernia: CT diagnosis.
We present a rare case of strangulated closed loop small bowel obstruction secondary to a transmesosigmoid 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.
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
CY
Yu
C-C
CC
Lin
J-C
JC
Yu
C-H
CH
Liu
R-Y
RY
Shyu
C-Y
CY
Chen
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006547:Hernia / Q000000981:diagnostic imaging*; D059685:Herniorrhaphy; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000601:surgery; D007421:Intestine, Small; D014057:Tomography, X-Ray Computed / Q000379:methods*