A CASE OF TRANSOMENTAL HERNIA DIAGNOSED PREOPERATIVELY BY ABDOMINAL CT SCAN
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- NAKASHIMA Yuichi
- Department of Surgery Matsue Seikyo Hospital
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- TACHIBANA Maromi
- Department of Surgery Matsue Seikyo Hospital
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- YAMAGUCHI Emi
- Department of Surgery Matsue Seikyo Hospital
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- ONODA Toshinao
- Department of Surgery Matsue Seikyo Hospital
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- SHIMOJO Yoshihide
- Department of Surgery Matsue Seikyo Hospital
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- UCHIDA Masaaki
- Department of Surgery Matsue Seikyo Hospital
Bibliographic Information
- Other Title
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- 腹部CT検査にて術前診断した大網裂孔ヘルニアの1例
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Abstract
Transomental hernia is a relatively rare disease and it is difficult to diagnose preoperatively. We experienced a case of transomental hernia successfully diagnosed by abdominal CT scan reoperatively.<br> A 78-year-old woman was brought into the hospital by ambulance because of clouding of consciousness. After admission, she had abdominal fullness. Abdominal CT scan showed ascites and the localized small intestine over the colon with dilatation and radial distribution of the mesentery. So we diagnosed the case as transomental hernia and performed an emergency open lapalotomy. The small intestine was necrosed by about 160cm starting at a site 120cm from the Treitz' ligament, the necrotizing portion was resected, and a jejunostomy was made. After her general condition became stable, the jejunostomy was closed, and the patient was discharged. In the treatment of patients with intestinal obstruction having no opened lapalotomy previously, internal hernias including transomental hernia must be kept in mind. It is important for early diagnosis to confirm the anatomic relations of organs and the presence of radial distribution of the mesentery using abdominal CT.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (10), 2490-2493, 2006
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282679823451008
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- NII Article ID
- 130003604737
- 10018391487
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed