Case Report] Occlusive Syndrome by Internal Transmesosigmoid Hernia: A Case Report and Review of the Literature

Abstract

Internal transmesosigmoid is a rare condition, that can cause unusual small bowel obstruction we report of an 80-year-old male patient presenting an acute intestinal obstruction due to transmesosigmoid hernia, the patient was operated for bladder lithiasis 6 years ago. Auscultation revealed intestinal borborygmus, and CT scan showed sigmoid volvulus in a dolichocolon. The diagnosis of acute intestinal obstruction was made, and an emergency laparotomy was indicated. Because of the high risk of strangulation with transmesosigmoid hernia, it is mandatory to timely and periodically reassess. Early surgical intervention is crucial to reduce mortality.