Usefulness of a laparoscopic approach for treatment of SBO d
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Background
Internal hernia is one of the causes (0.5–0.8%) of small-bowel obstruction (SBO) in patients with no history of abdominal surgery [1]. Among the internal hernias, intersigmoid hernia (ISH) is a rare condition and difficult to diagnose before surgery. Because patients with ISH have few specific clinical and radiographical signs, it is often diagnosed after laparotomy.

Here we describe a case of ISH that was diagnosed before surgery using gastrografin contrast enema via an inserted long tube and CT findings. The patient underwent laparoscopic surgery after ensuring sufficient decompression of the dilated small bowel and made an uneventful recovery.

Case presentation
A 45-year-old woman with epigastric pain was admitted to our hospital. She had a history of Hashimoto’s disease and depression, but had never undergone abdominal surgery. Upon admission, her vital signs were normal. Although she had bowel distension with left lower abdominal tenderness, there was no evidence of peritonitis. Her laboratory data were almost within normal limits except for slightly increased white blood cell count.....

http://surgicalcasereports.springeropen.com/articles/10.1186/s40792-017-0298-y
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