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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 9, Sept 2014 pp 548-550

Case Report

CT diagnosis of sigmoid mesocolon internal hernia

Rupesh Mandava¹, Rajani Gorantla², Harsha Chadaga³, Ramya Ramakrishnan⁴, Roy Santosham⁵

{^1,2Assistant Professor, ⁵Professor, Department of Radiology} {⁴Professor, Department of General Surgery}

Sri Ramachandra University; Porur, Chennai-116, Tamil Nadu, INDIA.

³Senior Consultant and Head, Columbia Asia Hospital, Banglore, Karnataka, INDIA.

Abstract
Introduction: We report a surgically proven case of sigmoid mesocolon internal hernia with ileum as contents. This 65 year old female patient presented with complaints of pain radiating to the back. Computed tomography (CT) of the whole abdomen showed bird beak appearance of the dilated small bowel loops with the beak like appearance centered towards the medial side and lying adjacent to the effaced sigmoid colon. This picture on CT is highly suggestive of sigmoid mesocolon internal hernia with ileum as contents which are a rare entity.