書誌事項
- タイトル別名
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- A Rare Case of Epiplo-Enterocele
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A 53-year-old man admitted for abdominal pain had no history of surgery or injury. An abdominal X-ray film showed niveau. Symptoms were not eliminated by conservative therapy using an ileus tube under a diagnosis of intestinal obstruction. At 24 hours after symptom onset, he experienced abdominal rebound tenderness, and was found in abdominal computed tomography to have fluid in the abdominal cavity and a C-shaped fluid-filled small-bowel loop with a twisted mesentery necessitating emergency surgery under a diagnosis of panperitonitis. During surgery, we found incarceration of the small bowel (the small intestine pushed its way from the space between the stomach and pancreas in the omental bursa with the greater omentum into a lesser sac space) and the proximal small bowel was dilated. We reduced the incarcerated ileum manually, and closed the hernia orifice since no circulation obstacle of the affected ileum was seen. The postoperative course was uneventful and the patient was discharged on postoperative day 9. It was difficult to diagnose the cause of intestinal obstruction as due to a slit of gastropancreatic physiologic adhesion, and we emphasize the need for rapid surgical intervention if strangulation or circulatory disturbance of the small intestine is indicated. The occurrence of internal hernia is rare, and we know of no other such case in Japan. Bibliographical comments are presented.
収録刊行物
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- 日本消化器外科学会雑誌
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日本消化器外科学会雑誌 36 (5), 395-400, 2003
一般社団法人 日本消化器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679895102848
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- NII論文ID
- 130004343945
- 110001294822
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- NII書誌ID
- AN00192066
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- ISSN
- 13489372
- 03869768
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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