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Surgical and Radiologic Anatomy

, Volume 39, Issue 3, pp 243–248 | Cite as

An anatomical study of the intersigmoid fossa and applications for internal hernia surgery

  • O. R. Somé
  • J. M. Ndoye
  • R. Yohann
  • G. Nolan
  • H. Roccia
  • W. P. Dakoure
  • P. Chaffanjon
Original Article

Abstract

Purpose

To improve the knowledge of the morphometry and the surrounding anatomical structures of the intersigmoid fossa and to determine possible surgical applications.

Method

Forty eight adult cadavers (29 female and 19 male; mean age 83 years) underwent dissection in the Laboratoire d’Anatomie des Alpes Francaises. Two injections in the right carotid resulted in a total body concentration of formalin of 1.3 %. The study parameters were the dimensions of the intersigmoid fossa orifice and the fossa’s relationship to surrounding structures. Data were recorded and analyzed using Microsoft Office Excel (MS Cerp). A Pearson coefficient r was used to examine the correlation between the length of colon and the ISF volume.

Results

The intersigmoid fossa was present in 75 % of cases (n = 36). The average dimensions for the transverse diameter, longitudinal diameter, and the depth were, respectively, 20.5 ± 0.2, 20.3 ± 0.13, and 26.8 ± 0.2 mm. The primary and secondary roots bordering this fossa measured on average 59.1 ± 0.1 and 48.3 ± 0.13 mm. In 13.9 % of cases (n = 5), the maximum depth was >40 mm and in 16.7 % of cases (n = 6), one of the diameters of the orifice entry of the fossa was >40 mm. The ureter and external iliac artery were the most frequently encountered structures during the dissection of the fundus of the intersigmoid fossa.

Conclusion

The intersigmoid fossa remains present in most of the reported dissections of cadavers. It constitutes an essential landmark in the surgery of the sigmoid colon due to its deep structural relationship with the left ureter and external iliac artery.

Keywords

Sigmoid fossa Intersigmoid recess Dimensions Relations 

Notes

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Armstrong O, Hamel A, Hamel O, Rogez JM, Robert R, Leborgne J et al (2005) Hernies internes: anatomie chirurgicale. Morphologie 89:195CrossRefGoogle Scholar
  2. 2.
    Berthet B, Assadourian R (1993) A rare form of internal hernia: hernia of the sigmoid mesocolon. J Chir 130:170–172Google Scholar
  3. 3.
    Bouchet A, Cuilleret J (1991) Anatomie topographique, descriptive et fonctionnelle, tome4: L’abdomen, la région rétro-péritonéale, le petit bassin, le périnée 2e edn. Masson, ParisGoogle Scholar
  4. 4.
    Delmas A, Rouvière H (2002) Anatomie humaine descriptive, topographique et fonctionnelle Tome 2, Tronc, 15e ed. MassonGoogle Scholar
  5. 5.
    Edward M, Livingstone B (1933) A clinical study of the abdominal cavity and peritoneum. Br J Surg 20:540Google Scholar
  6. 6.
    Godlewski G (1994) Le colon. In: Chevrel JP Anatomie clinique Le Tronc. Springer. pp 359–61Google Scholar
  7. 7.
    Harrison OJ, Sharma RD, Niayesh MH (2011) Early intervention in intersigmoid hernia may prevent bowel resection—A case report. Int J Surg Case Rep 2:282–284CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Jorge JMN, Habr-Gama A (2007) Anatomy and embryology of the colon, rectum, and anus. In: Wolff BG, Fleshman JW, Beck DE, Pemberton JH, Wexner SD, Church JM et al (eds) Colon and rectal surgery. Springer, New York, pp 1–22Google Scholar
  9. 9.
    Kamina P, Gouazé A (2014) Anatomie clinique Tome 3, Thorax, Abdomen, vol 4. Maloine, ParisGoogle Scholar
  10. 10.
    Kotobi H, Echaieb A, Gallot D (2005) Traitement chirurgical des hernies rares. EMC Chir 2:425–439CrossRefGoogle Scholar
  11. 11.
    Lapeyre A (1906) Contribution à l’étude de la pathologie et de la chirurgie du colon pelvien. La Gazette médicale du Centre, pp 179–189Google Scholar
  12. 12.
    Madiba TE, Haffajee MR (2010) Anatomical variations in the level of origin of the sigmoid colon from the descending colon and the attachment of the sigmoid mesocolon. Clin Anat 23:179–185PubMedGoogle Scholar
  13. 13.
    Martin LC, Merkle EM, Thompson WM (2006) Review of internal hernias: radiographic and clinical findings. Am J Roentgenol 186:703–717CrossRefGoogle Scholar
  14. 14.
    Nihon-Yanagi Y, Ooshiro M, Osamura A, Takagi R, Moriyama A, Urita T et al (2010) Intersigmoid hernia: report of a case. Surg Today 40:171–175CrossRefPubMedGoogle Scholar
  15. 15.
    Olusegun IA, Olusegun O, Polycarp N, Ganiyat OE, Abidemi O (2013) The role of anatomy of the sigmoïd colon in developing sigmoid volvus: a cross sectional study. Surg Radiol Anat 35:249–257CrossRefGoogle Scholar
  16. 16.
    Pérignon L (1892) Etude sur le développement du péritoine dans ses rapports avec l’évolution du tube digestif et de ses annexes. Steinheil, ParisGoogle Scholar
  17. 17.
    Poirier P, Charpy A (1901) Traité d’anatomie humaine, tome 5. Masson et Cie, ParisGoogle Scholar
  18. 18.
    Testut L, Jacob O (1906) Traité d’anatomie topographique avec applications médico-chirurgicales Tome second (1er fascicule) Abdomen et bassin. Octave Doin, Paris, pp 248–250Google Scholar
  19. 19.
    Thomas J (2010) Anatomie Topographique du duodénum et hernies duodénales. Nabu Press, CharlestonGoogle Scholar
  20. 20.
    Thomson FB, Robins RE (1953) Intersigmoid hernia—case report. Ann Surg 138:917–918CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Watanabe T, Wada H, Sato M, Miyaki Y, Shiiya N (2014) Single-incision laparoscopic surgery for intersigmoid hernia. Case Rep Surg 2014. doi: 10.1155/2014/589649

Copyright information

© Springer-Verlag France 2016

Authors and Affiliations

  • O. R. Somé
    • 1
    • 2
    • 3
  • J. M. Ndoye
    • 2
  • R. Yohann
    • 1
  • G. Nolan
    • 1
  • H. Roccia
    • 1
  • W. P. Dakoure
    • 1
  • P. Chaffanjon
    • 1
  1. 1.Laboratoire d’anatomie des Alpes françaises (LADAF) de la faculté de médecineUniversité Joseph FourierGrenobleFrance
  2. 2.Laboratoire d’anatomieUniversité Cheickh Anta DiopDakarSenegal
  3. 3.Institut Supérieur des Sciences de la SantéUniversité PolytechniqueBobo DioulassoBurkina Faso

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