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Sigmoid Volvulus Through a Transomental Internal Hernia: A Novel Observation Misdiagnosed Simple Sigmoid Volvulus

Received: 10 July 2021     Accepted: 2 August 2021     Published: 24 August 2021
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Abstract

Sigmoid volvulus is the torsion of sigmoid colon around its mesenteric axis. It is a common cause of colonic obstruction in our regions. It requires a prompt and emergency management due to the high risk of occurrence of strangulation. As for internal hernia, it is a protrusion of a hallow viscus through an intraperitoneal defect. Its incidence is very rare and the prevalence of intestinal obstruction for an internal hernia is very low. However, this condition is associated with a high mortality when strangulation of the viscus occurs. The peritoneal defect can be localized in multiples places. From the various locations of the peritoneal defect, transomental defect is one of the rarest. This transomental defect may be congenital or acquired. It is known that the small bowel, due to its high mobility, most of the time herniates and volvulates through the defect. But, a redundant sigmoid colon may herniate and volvulate through an omental defect. The occurrence of sigmoid volvulus though a transomental defect is very rare and few cases have been reported in the literature. This condition requires prompt diagnosis and emergency surgery. The preoperative diagnosis may be tricky. Frequently the diagnosis is made at surgery. We report a novel observation of sigmoid volvulus through a transomental (great omentum) hernia missed on investigations, delaying thus the treatment which is based on an emergency surgery.

Published in Clinical Medicine Research (Volume 10, Issue 4)
DOI 10.11648/j.cmr.20211004.17
Page(s) 151-154
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Internal Hernia, Sigmoid Volvulus, Intestinal Obstruction, Transomental

References
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[3] Takeyama N, Gokan T, Ohgiya Y, et al. CT of internal hernias. Radiographics. 2005; 25 (4): 997–1015.
[4] Ahriman GG. Internal abdominal hernias. Surg Clin North Am 1984; 64: 393-406.
[5] Regent D, Ranchoup Y, M’Benge A, Nghi Phi I, Chikhaoui N, Mathias J. Imagerie radiologique des hernies internes. EMC - Radiologie et imagerie médicale - abdominale - digestive 2015; 10 (4): 1-24.
[6] Camera L, Gennaro AD, Longobardi M, et al. A spontaneous strangulated transomental hernia: Prospective and retrospective multi-detector computed tomography findings. World J Radiol 2014; 6 (2): 26–30.
[7] Yamaguchi T. A case of incarceration of sigmoid colon into hiatus of greater omentum. Rinsho geka. 1978; 33: 1041–5.
[8] Jung P, Kim MD, Ryu TH, Choi SH, Kim HS, Lee KH, et al. Transmesocolic hernia with strangulation in a patient with- out surgical history: case report. World J Gastroenterol 2013; 19: 1997–9. doi:10.3748/wjg.v19.i12.1997.
[9] Subasinghe D, Keppetiyagama CT, Samarasekera DN. Jejunal obstruction due to a variant of transmesocolic hernia: a rare presentation of acute abdomen. BMC Surg 2015; 15: 57 10. 1186/s12893-015-0051-z.
[10] Aparicio DJ, Leichsenring C, Pignatelli N, Germano A, Ferreira S, Nunes V. Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports. Journal of Surgical Case Reports, 2019; 3, 1–4.
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[12] Choi PW, Heo TG, Park JH, Lee MS, Kim CN, Chang SH et al. Colonic Obstruction Caused by Sigmoid. Volvulus Combined with a Transomental Hernia: A Case Report. Journal of the Korean Society of Coloproctology 2008; 24: 214-218.
[13] Gupta R, Pokharia P, Varshney R. Transmesocolic Internal Hernia: a Rare Cause of Bowel Obstruction. Journal of GastrointestinalSurgery.2020:https://doi.org/10.1007/s11605-020-04535-4.
[14] Delabrousse E, Couvreur M, Saguet O, Heyd B, Brunelle S, Kastler B. Strangulated transomental hernia: CT findings. Abdom Imaging 26: 86–88 (2001) DOI: 10.1007/s002610000135.
[15] Ito R, Mori K, Minamimura K, Hirata T, Kobayashi T, Kawasaki S. Displacement of the transverse colon is a highly specific computed tomography finding for the preoperative diagnosis of a transomental hernia. Jpn J Radio. 2019; 37: 605–11.
[16] Kishiki T, Mori T, Hashimoto Y, Matsuoka H, Abe N, Masaki T, et al. Laparoscopic repair of internal transmesocolic 
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[17] Kulkarni GV, Premchandani D, Chitnis A, Katara A, Deepraj S. Bhandarkar DS. Laparoscopis repair of a combined transmesocolic, transomental hernia. J Minim Access Surg. 2020; 16 (1): 83–86. Published online 2019 Dec 20. doi: 10.4103/jmas.JMAS_244_18.
[18] Otuu O, Eni EU, Nweke OO, Enweremadu CK. Spontaneous transomental hernia: An intersting intraoperative cause of intestinal obstruction. J Case Rep Images Surg 2021; 7: 100087Z12OO2021.
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Cite This Article
  • APA Style

    Eugene Gaudens Prosper Amaye Dieme, Yameogo Bonaventure, Cheikh Hameth Badji, Mamadou Dembele, Magatte Faye, et al. (2021). Sigmoid Volvulus Through a Transomental Internal Hernia: A Novel Observation Misdiagnosed Simple Sigmoid Volvulus. Clinical Medicine Research, 10(4), 151-154. https://doi.org/10.11648/j.cmr.20211004.17

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    ACS Style

    Eugene Gaudens Prosper Amaye Dieme; Yameogo Bonaventure; Cheikh Hameth Badji; Mamadou Dembele; Magatte Faye, et al. Sigmoid Volvulus Through a Transomental Internal Hernia: A Novel Observation Misdiagnosed Simple Sigmoid Volvulus. Clin. Med. Res. 2021, 10(4), 151-154. doi: 10.11648/j.cmr.20211004.17

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    AMA Style

    Eugene Gaudens Prosper Amaye Dieme, Yameogo Bonaventure, Cheikh Hameth Badji, Mamadou Dembele, Magatte Faye, et al. Sigmoid Volvulus Through a Transomental Internal Hernia: A Novel Observation Misdiagnosed Simple Sigmoid Volvulus. Clin Med Res. 2021;10(4):151-154. doi: 10.11648/j.cmr.20211004.17

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  • @article{10.11648/j.cmr.20211004.17,
      author = {Eugene Gaudens Prosper Amaye Dieme and Yameogo Bonaventure and Cheikh Hameth Badji and Mamadou Dembele and Magatte Faye and Birame Ndiaye},
      title = {Sigmoid Volvulus Through a Transomental Internal Hernia: A Novel Observation Misdiagnosed Simple Sigmoid Volvulus},
      journal = {Clinical Medicine Research},
      volume = {10},
      number = {4},
      pages = {151-154},
      doi = {10.11648/j.cmr.20211004.17},
      url = {https://doi.org/10.11648/j.cmr.20211004.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211004.17},
      abstract = {Sigmoid volvulus is the torsion of sigmoid colon around its mesenteric axis. It is a common cause of colonic obstruction in our regions. It requires a prompt and emergency management due to the high risk of occurrence of strangulation. As for internal hernia, it is a protrusion of a hallow viscus through an intraperitoneal defect. Its incidence is very rare and the prevalence of intestinal obstruction for an internal hernia is very low. However, this condition is associated with a high mortality when strangulation of the viscus occurs. The peritoneal defect can be localized in multiples places. From the various locations of the peritoneal defect, transomental defect is one of the rarest. This transomental defect may be congenital or acquired. It is known that the small bowel, due to its high mobility, most of the time herniates and volvulates through the defect. But, a redundant sigmoid colon may herniate and volvulate through an omental defect. The occurrence of sigmoid volvulus though a transomental defect is very rare and few cases have been reported in the literature. This condition requires prompt diagnosis and emergency surgery. The preoperative diagnosis may be tricky. Frequently the diagnosis is made at surgery. We report a novel observation of sigmoid volvulus through a transomental (great omentum) hernia missed on investigations, delaying thus the treatment which is based on an emergency surgery.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Sigmoid Volvulus Through a Transomental Internal Hernia: A Novel Observation Misdiagnosed Simple Sigmoid Volvulus
    AU  - Eugene Gaudens Prosper Amaye Dieme
    AU  - Yameogo Bonaventure
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    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
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    PB  - Science Publishing Group
    SN  - 2326-9057
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    AB  - Sigmoid volvulus is the torsion of sigmoid colon around its mesenteric axis. It is a common cause of colonic obstruction in our regions. It requires a prompt and emergency management due to the high risk of occurrence of strangulation. As for internal hernia, it is a protrusion of a hallow viscus through an intraperitoneal defect. Its incidence is very rare and the prevalence of intestinal obstruction for an internal hernia is very low. However, this condition is associated with a high mortality when strangulation of the viscus occurs. The peritoneal defect can be localized in multiples places. From the various locations of the peritoneal defect, transomental defect is one of the rarest. This transomental defect may be congenital or acquired. It is known that the small bowel, due to its high mobility, most of the time herniates and volvulates through the defect. But, a redundant sigmoid colon may herniate and volvulate through an omental defect. The occurrence of sigmoid volvulus though a transomental defect is very rare and few cases have been reported in the literature. This condition requires prompt diagnosis and emergency surgery. The preoperative diagnosis may be tricky. Frequently the diagnosis is made at surgery. We report a novel observation of sigmoid volvulus through a transomental (great omentum) hernia missed on investigations, delaying thus the treatment which is based on an emergency surgery.
    VL  - 10
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Author Information
  • Surgery Department of Principal Hospital of Dakar, Cheikh Anta Diop University, Dakar, Senegal

  • Surgery Department of Principal Hospital of Dakar, Cheikh Anta Diop University, Dakar, Senegal

  • Surgery Department of Principal Hospital of Dakar, Cheikh Anta Diop University, Dakar, Senegal

  • Surgery Department of Principal Hospital of Dakar, Cheikh Anta Diop University, Dakar, Senegal

  • Surgery Department of Principal Hospital of Dakar, Cheikh Anta Diop University, Dakar, Senegal

  • Surgery Department of Principal Hospital of Dakar, Cheikh Anta Diop University, Dakar, Senegal

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