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A Case of Intersigmoid Hernia with Illustrations of X-ray Appearances

The Royal Northern Infirmary, Inverness

This excerpt was created in the absence of an abstract.

1. Correct pre-operative diagnosis was made radiologically after flat abdomen followed by barium enema.

So far as I know there has been no previous report of such a diagnosis.

2. Radiological findings of Intersigmoid Hernia.

(a) Marked distension of proximal loops of small intestine.

(b) Normal passage of barium enema apart from a temporary stop at sigmoid at the level of the herniation.

(c) Obvious extrinsic pressure resembling a not well defined filling defect in sigmoid colon, but varying on changing patient's position.

(d) Normal emptying of colon by evacuation.

(e) Localised tenderness on palpation.

(f) Isolated gas bubble in arrested coil of small intestine, more distinctly seen in erect position, and which cannot be separated by manual pressure from sigmoid (suggesting adhesions).

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