How serious is an internal hernia?

Primary internal hernias are extremely rare in adults. They are an important cause of small intestinal obstruction and lead to high morbidity and mortality if left untreated.

Can you get a hernia in your sigmoid colon?

The intersigmoid hernia is part of a rare group of three internal hernias known as sigmoid mesocolon hernias. Clinically they present with small bowel obstruction and are rarely diagnosed preoperatively. However, absence of previous surgery with no external hernia should raise suspicions of the diagnosis.

How is internal hernia treated?

In some cases, an internal hernia can resolve itself with conservative management strategies, including increased fluid intake and adequate bowel rest by restricting food consumption. In other situations, however, surgery may be required.

What is another name for an internal hernia?

Internal hernias (alternative plural: herniae) are protrusions of the viscera through the peritoneum or mesentery but remaining within the abdominal cavity.

How is an internal hidden hernia diagnosed?

How Does a Doctor Diagnose a Hidden Hernia? A hidden hernia is identified in part by the presence of a point of tenderness located about two thirds of the way from the hip bone. A health history is also valuable: A hernia may be indicated by pain that worsens during certain activities.

Where is sigmoid colon pain felt?

If you have a sigmoid problem, you’re likely to feel pain in your lower abdomen. You may also have other symptoms like blood in your stool, loss of appetite, anemia, abdominal bloating, or fatigue.

How painful is hernia repair surgery?

After hernia repair surgery, it is common to experience mild to moderate pain, and to feel a little run down. It’s also normal to feel pulling or twinges in the affected area as you heal. Most people, however, feel better within a few days and much better within a week of surgery.

When does an intersigmoid mesocolon hernia occur?

Intersigmoid hernias, also known as sigmoid mesocolon hernias, occur when small bowel loops protrude into a peritoneal pocket (intersigmoid fossa) formed between two adjacent sigmoid segments and their mesentery.

Can a sigmoid hernia be a transmesocolon hernia?

Transmesenteric internal hernias normally associated with small bowel. It can be challenging to diagnose transmesocolon internal hernia hence we present a 93-year-old patient who was misdiagnosed with simple sigmoid volvulus on CT abdomen. She underwent endoscopic colonic decompression.

Can a X-ray diagnose a sigmoid hernia?

Congenital transmesenteric internal hernias are mainly small bowel and majority involving sigmoid mesocolon [ 3–6 ]. Internal hernias can often be difficult to diagnose purely based on clinical and examination findings. Simple plain X-ray will likely diagnose sigmoid volvulus but unable to detect internal hernias.

What kind of hernia is in the sigmoid fossa?

Dr Rohit Sharma and Dr Bruno Di Muzio ◈ et al. Intersigmoid hernias, also known as sigmoid mesocolon hernias, occur when small bowel loops protrude into a peritoneal pocket (intersigmoid fossa) formed between two adjacent sigmoid segments and their mesentery. Sigmoid mesocolon hernias account for ~5% of all internal hernias 1,2.