Department of Surgery, Barnet and Chase Farm Hospitals NHS Trust, Barnet, UK (all authors).

ABSTRACT

Introduction: An intersigmoid hernia is a type of internal hernia and is a rare cause of small-bowel obstruction. It occurs because of a congenital peritoneal defect at the root of the sigmoid mesocolon called the intersigmoid fossa.

Case Description: A case of intersigmoid hernia causing acute small-bowel obstruction is presented and a technique for the laparoscopic management of an incarcerated intersigmoid hernia is described.

Discussion: This is the first reported case of an intersigmoid hernia being repaired by a totally laparoscopic approach and highlights the utility of laparoscopy in acute small-bowel obstruction, particularly when the patient has not had previous abdominal surgery.

Key Words: Intestinal obstruction, Intersigmoid hernia, Laparoscopy.

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