S状結腸間膜内ヘルニアの1例

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  • INTRAMESOSIGMOID HERNIA -A CASE REPORT-

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A case of intramesosigmoid hernia in a 79-year-old man is reported herein. The patient was admitted to the hospital because of abdominal fullness and nausea. No symptomatic remission could be achieved with a conservative treatment. An exploratory laparotomy was performed on the 7th day after the onset of symptoms.<br> There was incarceration of the small bowel 50cm proximal from the terminla ileum into a mesenteric defect of the left side of sigmoid colon. The operative diagnosis was intramesosigmoid hernia. We easily reduced the incarcerated ileum with manual procedure, and closed the hernia orifice 1.5×2.0cm in size because of no circulation obstacle of the affected ileum.<br> Intramesosigmoid hernia is a very rare type of internal hernia. The cases of intramesosigmoid hernia so far reported in Japan were all of the right side type. This is the first case of the left side type of intramesosigmoid hernia.

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