Laparoscopically Treated Strangulated Ileus Due to an Intersigmoid Hernia

-A Case Report-

Abstract

We report herein on a case of strangulated ileus due to an intersigmoid hernia in a 55-year-old woman, who visited our emergency room complaining of persistant low abdominal pain and nausea. Abdominal CT showed a loop-shaped small bowel in the left lower abdominal quadrant. Based on the diagnosis of strangulated ileus, we performed laparoscopic surgery; a 10-cm loop of small bowel was incarcerated in the intersigmoid fossa. We extracted the small bowel, and sutured the fossa employing a laparoscopic approach. Bowel resection was not required. The patient was discharged from the hospital on the 6th day after surgery. Intersigmoid hernias are rare, and preoperative diagnosis is difficult in many cases. The laparoscopic approach is recommendable in the early diagnosis and treatment of intersigmoid hernias.