Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects
Introduction. Intersigmoid hernia is a hernia of the small bowel into the intersigmoid fossa. It is well known to be a rare condition. Recent reports reveal that the preoperative differentiation of intersigmoid hernias is difficult and the diagnosis is often confirmed during the laparotomic explorat...
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Wiley
2020-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2020/4891796 |
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| author | Stella Chiarini Paolo Ruscelli Roberto Cirocchi Vito D’Andrea Beatrice Sensi Alberto Santoro Alessia Corsi Federico Zepponi Piergiorgio Fedeli Sara Gioia |
| author_facet | Stella Chiarini Paolo Ruscelli Roberto Cirocchi Vito D’Andrea Beatrice Sensi Alberto Santoro Alessia Corsi Federico Zepponi Piergiorgio Fedeli Sara Gioia |
| author_sort | Stella Chiarini |
| collection | DOAJ |
| description | Introduction. Intersigmoid hernia is a hernia of the small bowel into the intersigmoid fossa. It is well known to be a rare condition. Recent reports reveal that the preoperative differentiation of intersigmoid hernias is difficult and the diagnosis is often confirmed during the laparotomic exploration. Due to the vague clinical manifestation in most cases, the surgical treatment is frequently delayed. Materials and Methods. In this study, we systematically reviewed the literature up to 2019 covering 114 studies and 124 patients with an intersigmoid hernia. The purpose of this work is to improve the understanding of the anatomical aspects, clinical presentation, diagnosis, and treatment of intersigmoid hernia so as to assist the preoperative differentiation of these hernias when presented as acute abdomen in the emergency department. Results. The diameter of the intersigmoid recess was reported with mean 2.65 cm (range 1–10 cm, SD 1.15 cm) and the length of the incarcerated small intestine was between 3 cm (min) and 150 cm (max): mean 25.25 cm, SD 35.04 cm. The diameter of the sigmoid recess was greater in patients who underwent resection due to strangulation (mean 3.31 cm, SD 1.53 cm) compared to those who underwent only reduction of the hernia (mean 2.35 cm, SD 0.74 cm). The time from onset to operation was less in patients undergoing resection surgery due to throttling (mean 3.03 days, SD 3.01 days) compared to those who underwent only a reduction of hernia incarceration (mean 8.49 days, SD 6.83 days). Conclusion. Intersigmoid hernia is often a forgotten diagnosis and a clinical challange due to its anatomical characteristics. |
| format | Article |
| id | doaj-art-2e4f9676cb87413394bde2cc601ddf2c |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-2e4f9676cb87413394bde2cc601ddf2c2025-02-03T06:46:36ZengWileyEmergency Medicine International2090-28402090-28592020-01-01202010.1155/2020/48917964891796Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal AspectsStella Chiarini0Paolo Ruscelli1Roberto Cirocchi2Vito D’Andrea3Beatrice Sensi4Alberto Santoro5Alessia Corsi6Federico Zepponi7Piergiorgio Fedeli8Sara Gioia9Department of Medicine and Ageing Science, University of Chieti, Via Dei Vestini 31, Chieti, ItalyEmergency Surgery Unit, Torrette Hospital, Polytechnic University of Marche, Via Conca 71, Torrette 60020, Ancona, ItalyDepartment of Surgical Sciences, University of Perugia, Piazza Dell' Università 1, Perugia 06100, ItalyDepartment of Surgical Sciences, Sapienza University of Rome, Piazzale Aldo Moro 5, Rome 00185, ItalyDepartment of Surgical Sciences, University of Perugia, Piazza Dell' Università 1, Perugia 06100, ItalyDepartment of Surgical Sciences, Sapienza University of Rome, Piazzale Aldo Moro 5, Rome 00185, ItalyDepartment of Surgical Sciences, University of Perugia, Piazza Dell' Università 1, Perugia 06100, ItalyDepartment of Surgical Sciences, University of Perugia, Piazza Dell' Università 1, Perugia 06100, ItalyLaw School, University of Camerino, Via A. D'Accorso 16, Camerino, MC, ItalyDepartment of Surgical Sciences, University of Perugia, Piazza Dell' Università 1, Perugia 06100, ItalyIntroduction. Intersigmoid hernia is a hernia of the small bowel into the intersigmoid fossa. It is well known to be a rare condition. Recent reports reveal that the preoperative differentiation of intersigmoid hernias is difficult and the diagnosis is often confirmed during the laparotomic exploration. Due to the vague clinical manifestation in most cases, the surgical treatment is frequently delayed. Materials and Methods. In this study, we systematically reviewed the literature up to 2019 covering 114 studies and 124 patients with an intersigmoid hernia. The purpose of this work is to improve the understanding of the anatomical aspects, clinical presentation, diagnosis, and treatment of intersigmoid hernia so as to assist the preoperative differentiation of these hernias when presented as acute abdomen in the emergency department. Results. The diameter of the intersigmoid recess was reported with mean 2.65 cm (range 1–10 cm, SD 1.15 cm) and the length of the incarcerated small intestine was between 3 cm (min) and 150 cm (max): mean 25.25 cm, SD 35.04 cm. The diameter of the sigmoid recess was greater in patients who underwent resection due to strangulation (mean 3.31 cm, SD 1.53 cm) compared to those who underwent only reduction of the hernia (mean 2.35 cm, SD 0.74 cm). The time from onset to operation was less in patients undergoing resection surgery due to throttling (mean 3.03 days, SD 3.01 days) compared to those who underwent only a reduction of hernia incarceration (mean 8.49 days, SD 6.83 days). Conclusion. Intersigmoid hernia is often a forgotten diagnosis and a clinical challange due to its anatomical characteristics.http://dx.doi.org/10.1155/2020/4891796 |
| spellingShingle | Stella Chiarini Paolo Ruscelli Roberto Cirocchi Vito D’Andrea Beatrice Sensi Alberto Santoro Alessia Corsi Federico Zepponi Piergiorgio Fedeli Sara Gioia Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects Emergency Medicine International |
| title | Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects |
| title_full | Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects |
| title_fullStr | Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects |
| title_full_unstemmed | Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects |
| title_short | Intersigmoid Hernia: A Forgotten Diagnosis—A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects |
| title_sort | intersigmoid hernia a forgotten diagnosis a systematic review of the literature over anatomical diagnostic surgical and medicolegal aspects |
| url | http://dx.doi.org/10.1155/2020/4891796 |
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