Lee Ji Eun, Choi Seo-Youn, Lee Min Hee, Yi Boem Ha, Lee Hae Kyung, Ko Bong Min
Department of Radiology Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Korea.
Medicine (Baltimore). 2018 Jul;97(27):e11336. doi: 10.1097/MD.0000000000011336.
Computed tomography (CT) plays an important role in diagnosing specific types of internal hernias and their complications. In particular, pericecal hernia of the sigmoid colon has never been reported in the English literature.
The first patient was a 46-year-old female presented to our institution due to acute abdominal pain. The second patient was a 55-year-old male presented to our institution with continuous diarrhea. The patient underwent colonoscopy for further evaluation. However, even with sufficient air insufflation and repetitive maneuvers, the colonoscope could not proceed beyond the narrowed level of the sigmoid colon. In both cases, contrast-enhanced abdominal CT was done and a herniated loop of sigmoid colon was noted in the posterolateral aspect of the cecum and ascending colon. Thus, a diagnosis of pericecal herniation of the sigmoid colon was established.
This case study indicates that radiologic examination can be helpful in detecting pericecal herniation of the sigmoid colon.
计算机断层扫描（CT）在诊断特定类型的内疝及其并发症方面发挥着重要作用。特别是，乙状结肠盲肠周围疝在英文文献中从未有过报道。
首例患者为一名46岁女性，因急性腹痛前来我院就诊。第二例患者为一名55岁男性，因持续性腹泻前来我院就诊。患者接受了结肠镜检查以进一步评估。然而，即使进行了充分的空气注入和反复操作，结肠镜仍无法越过乙状结肠变窄的部位。在这两例病例中，均进行了腹部增强CT检查，结果显示在盲肠和升结肠的后外侧有一个乙状结肠疝出袢。因此，确诊为乙状结肠盲肠周围疝。
本病例研究表明，放射学检查有助于检测乙状结肠盲肠周围疝。
