LAPAROSCOPIC TREATMENT FOR INTRAMESOSIGMOID HERNIA-A CASE REPORT-

• NITTA Hiroshi

  Department of Surgery, Fukaya Red Cross Hospital

• ISHIKAWA Fumihiko

  Department of Surgery, Fukaya Red Cross Hospital

• OMOTO Hideyuki

  Department of Surgery, Fukaya Red Cross Hospital

• ITO Hiroshi

  Department of Surgery, Fukaya Red Cross Hospital

• YAMASHITA Sumio

  Department of Surgery, Fukaya Red Cross Hospital

• SUWA Toshikazu

  Department of Surgery, Fukaya Red Cross Hospital

Bibliographic Information

Other Title

• 腹腔鏡下に整備したＳ状結腸間膜内ヘルニアの１例

Abstract

A 39-year-old man complaining of epigastric pain was admitted to our hospital and diagnosed by abdominal X-rays as having intestinal obstruction. He had no past history of abdominal surgery. Because abdominal computed tomography showed dilatation of the small intestine, the patient underwent conservative therapy using a long tube. Although symptomatic remission could be achieved with depression of the intestine, intestinal contrast study through the long tube still showed obstruction of the small intestine. Internal hernia was strongly suspected and so laparoscopic surgery was performed. Laparoscopic observation revealed that the expanded ileum went around the back of the sigmoid colon and incarcerated into a mesenteric defect on the left side of the sigmoid colon in a Richter-type manner. A diagnosis of intramesosigmoid hernia was made, and incarceration was easily reduced by dissection of the right side of the mesocolon forming the hernia sac without intestinal resection. The postoperative course was uneventful and the patient was discharged on the 7^th postoperative day. Internal hernia by sigmoid mesocolon is a rare disease, occurring in less than 5% of all internal hernias. We report a rare case of intramesosigmoid hernia, the incarceration of which was reduced by laparoscopic surgery.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (10), 2479-2484, 2006

  Japan Surgical Association

Keywords

• S状結腸間膜内ヘルニア
• イレウス
• 腹腔鏡下手術

Details

• CRID: 1390001204846754944
• NII Article ID: 10018391429
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.2479
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/10/67_10_2479/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007089596
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed