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Case Reports

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Emergency laparoscopic surgery on a patient who visited the emergency room with lower abdominal pain

  • Hyo Jeong Choi1,†
  • Seung Yeun Jang2,†
  • Ho Jung Kim3,*,

1Department of Paramedicine, Sun Moon University, 31460 Asan-si, Republic of Korea

2Department of Emergency Medicine, Boramae Medical Center, 07061 Seoul, Republic of Korea

3Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, 14584 Bucheon-si, Republic of Korea

DOI: 10.22514/sv.2023.092 Vol.19,Issue 5,September 2023 pp.250-253

Submitted: 03 June 2022 Accepted: 18 October 2022

Published: 08 September 2023

*Corresponding Author(s): Ho Jung Kim E-mail:

† These authors contributed equally.


Internal hernias account for fewer than 6% of all small intestinal obstructions; of these, hernias caused by defects in the sigmoid colon are particularly challenging to detect. Misdiagnosis may occur if non-surgical symptoms (such as rebound tenderness) are not observed in the emergency room. We report the case of a consent who visited the emergency room with recurrent non-specific lower abdominal pain. She exhibited an internal hernia that had triggered small intestinal ischemia between the mesosigmoid (mesentery) and ovary. A 36-year-old female patient visited the emergency room of our hospital with acute left-lower abdominal pain, nausea, and vomiting that occurred 1 h after meals. We found no palpable mass or enlarged organ. Abdominal computed tomography (CT) revealed segmental small bowel wall thickening with mesenteric congestion in the left-lower quadrant, and small bowel ischemia attributable to internal herniation or adhesion. In addition, a small amount of pelvic ascites and multiple liver cysts were observed. A surgeon was immediately consulted and emergency laparoscopic surgery was performed.


Abdominal pain; Internal hernia; Small bowel ischemia; Adhesion band; Emergency center

Cite and Share

Hyo Jeong Choi,Seung Yeun Jang,Ho Jung Kim. Emergency laparoscopic surgery on a patient who visited the emergency room with lower abdominal pain. Signa Vitae. 2023. 19(5);250-253.


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