A Case of Internal Hernia Through a Defect in the Broad Ligament of the Uterus Diagnosed Preoperatively
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- Hiramatsu Soichiro
- Department of Surgery, Teramoto Memorial Hospital
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- Yanagawa Kenichi
- Department of Surgery, Teramoto Memorial Hospital
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- Matsunaga Nobuo
- Department of Surgery, Teramoto Memorial Hospital
Bibliographic Information
- Other Title
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- 特徴的な画像所見から術前診断し得た子宮広間膜裂孔ヘルニアの1例
- トクチョウテキ ナ ガゾウ ショケン カラ ジュツゼン シンダン シエタ シキュウ ヒロママクレツコウ ヘルニア ノ 1レイ
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Abstract
<p>A 50–year–old woman visited the emergency room of our hospital complaining of lower abdominal pain and vomiting. Abdominal CT showed invagination of the small intestine into the pouch of Douglas and displacement of the rectum and uterus. Furthermore, we found a small intestinal loop to the left side of the uterus and vascular convergence in the invaginated mesentery. The patient was diagnosed as having bowel obstruction due to internal herniation through a defect in the broad ligament of the uterus, and emergency surgery was performed on the same day. A 30–cm long segment of the ileum was found to have invaginated through a defect on the left side of the broad ligament of the uterus. After releasing the intestine, the defect was sutured. The postoperative course was uneventful, and the patient was discharged 7 days after the surgery without any complications. We encountered a relatively rare case of internal herniation through a defect in the broad ligament of the uterus which was diagnosed preoperatively based on the characteristic CT findings.</p>
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 40 (1), 57-59, 2020-01-31
Japanese Society for Abdominal Emergency Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390285697606013184
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- NII Article ID
- 130007919311
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- NDL BIB ID
- 032466933
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed