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.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Radiological and Ultrasound Technology
Yu, C. Y., Lin, C. C., Yu, J. C., Liu, C. H., Shyu, R. Y., & Chen, C. Y. (2004). Strangulated transmesosigmoid hernia: CT diagnosis. Abdominal Imaging, 29(2), 158-160. https://doi.org/10.1007/s00261-003-0095-x