成人S状結腸間膜裂孔ヘルニアの1例

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  • A Case of Transmesosigmoid Hernia in an Adult

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Transmesosigmoid hernia in adult is very rare. A 60-year-old man admitted for sudden onset of severe ab-dominal pain was found in plain X-ray and CT of the abdomen to have a small intestinal gas image and an air-fluid level, and abdominal ultrasonography shows ascites and keyboard sign. Under a diagnosis of strangu-lated ileus, we conducted emergency surgery. Laparotomy showed an oval defect 5 cm in diameter in the sig-moid mesocolon that strangulated the small intestine. The man was discharged on postoperative day 10 with-out complications.

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